Provider | Fidelis Care

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LATEST NEWS


6/30/2023 • Posted by Provider Relations
As your health plan partner, Fidelis Care would like to share critical information about changes with Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, and MLTC programs across New York State.
6/30/2023 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective August 1, 2023.
6/29/2023 • Posted by Provider Relations
Fidelis Care would like to remind providers that the NYRx pharmacy program transition fill period is ending on June 30th, 2023. Providers should review the NYRx Preferred Drug List to avoid disruption.
6/27/2023 • Posted by Provider Relations
Please note Fidelis Care has made an update to the Fidelis Care Quality Incentive (QCI) Program for Prenatal Encounter Forms. Beginning 07/01/2023, in order to be considered for the incentive, all prenatal encounter forms received must be submitted using the most updated form.
6/23/2023 • Posted by Provider Relations
The Centers for Medicare and Medicaid Services (CMS) requires that providers receive Medicare Special Needs Program (SNP) Model of Care (MOC) Training annually.
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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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Authorization Resources

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

Electronic Transactions

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Utilization Management (UM)

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