Authorization Grids

View Authorization Grids available for Medicare, Medicaid, Child Health Plus, and Qualified Health Plans (Metal-Level Products). 

Pharmacy - Electronic Prior Authorizations

Fidelis Care has made submitting Pharmacy electronic prior authorizations (ePA) easier and more convenient. ePA is Fidelis Care's preferred method to receive prior authorizations. 

We have partnered with ePA vendors, CoverMyMeds and Surescripts, making it easy for you to submit and access electronic prior authorizations via the ePA vendor of your choice. For more information on how to get started and to sign up, view Electronic Prior Authorizations


Provider Access Online

Verify member eligibility, check claims status, and more.


Manuals, Forms and Policies

Provider manuals, tip sheets, important forms, and applications.

Pharmacy Services

Formularies, utilization management programs, general pharmacy updates, and specialty drug programs. 

Utilization Management (UM)

Find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization resources.