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LATEST NEWS


3/8/2024 • Posted by Provider Relations
Fidelis Care will host two additional Provider Office Hours in March 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
3/8/2024 • Posted by Provider Relations
As of March 1, 2024, non-emergency medical transportation services for members enrolled in a Medicaid Advantage Plus or MLTC plan are now arranged by the Statewide Transportation Broker - Medical Answering Services (MAS) and covered by Medicaid Fee-For-Service.
3/6/2024 • Posted by Provider Relations
Fidelis Care will be hosting an educational webinar series for our Health Home partners entitled “Wellness 360 for Health Homes: Special Populations”. Health Homes provide community-based care management for Medicaid recipients with chronic medical and behavioral health conditions.
3/4/2024 • Posted by Provider Relations
Beginning March 2, 2024, current enrollees in Qualified Health Plans (Ambetter from Fidelis Care) who are within 200-250% FPL will be notified via letter from NY State of Health about the expansion of Essential Plan coverage in New York State. Members that now qualify for Essential Plan coverage will automatically be moved from their Qualified Health Plan to Essential Plan 200-250, effective April 1, 2024.
2/28/2024 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2024.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.