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Fidelis Care requires prior authorization for some services. Our Utilization Management Department evaluates authorization requests to determine medical necessity, appropriateness, and delivery of care. Below you will find information and links to internal Fidelis Care prior authorization submission resources as well as links to external vendor authorization programs.
View authorization information available for Medicare, Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans (Metal-Level Products).
Medicaid Authorization Look Up Tool
Authorization Grid Detail, Effective April 1, 2026 (PDF)
Authorization Grid Detail, Effective March 1, 2026 (PDF)
Authorization Grid Detail, Effective February 1, 2026 (PDF)
Authorization Grid Detail, Effective January 1, 2026 (PDF)
Authorization Grid Detail, Effective December 1, 2025 (PDF)
Authorization Grid Detail, Effective November 1, 2025 (PDF)
Authorization Grid Detail, Effective October 1, 2025 (PDF)
Authorization Grid Detail, Effective September 1, 2025 (PDF)
Authorization Grid Detail, Effective August 1, 2025 (PDF)
Authorization Grid Detail, Effective July 1, 2025 (PDF)
Authorization Grid Detail, Effective June 1, 2025 (PDF)
Authorization Grid Detail, Effective May 1, 2025 (PDF)
Authorization Grid Detail, Effective April 1, 2025 (PDF)
Authorization Grid Detail, Effective March 1, 2025 (PDF)
Authorization Grid Detail, Effective February 1, 2025 (PDF)
Authorization Grid Detail, Effective January 1, 2025 (PDF)
Authorization Grid Detail, Effective December 1, 2024 (PDF)
Authorization Grid Detail, Effective November 1, 2024 (PDF)
Authorization Grid Detail, Effective October 1, 2024 (PDF)
Authorization Grid Detail, Effective August 1, 2024 (PDF)
Authorization Grid Detail, Effective July 1, 2024 (PDF)
Authorization Grid Detail, Effective June 1, 2024 (PDF)
Authorization Grid Detail, Effective May 1, 2024 (PDF)
Authorization Grid Detail, Effective April 1, 2024 (PDF)
Authorization Grid Detail, Effective March 1, 2024 (PDF)
Authorization Grid Detail, Effective February 1, 2024 (PDF)
Authorization Grid Detail, Effective January 1, 2024 (PDF)
Authorization Grid Detail, Effective December 1, 2023 (PDF)
Authorization Grid Detail, Effective November 1, 2023 (PDF)
Authorization Grid Detail, Effective October 1, 2023 (PDF)
Authorization Grid Detail, Effective September 1, 2023 (PDF)
Authorization Grid Detail, Effective August 1, 2023 (PDF)
Authorization Grid Detail, Effective July 1, 2023 (PDF)
Authorization Grid Detail, Effective June 1, 2023 (PDF)
Authorization Grid Detail, Effective May 1, 2023 (PDF)
Authorization Grid Detail, Effective April 1, 2023 (PDF)
Authorization Grid Detail, Effective March 1, 2023 (PDF)
Authorization Grid Detail, Effective February 1, 2023 (PDF)
Authorization Grid Detail, Effective January 1, 2023 (PDF)
Medicare Authorization Look Up Tool
Qualified Health Plans (Metal-Level Products) Authorization Look Up Tool
Essential Plan Authorization Look Up Tool
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
Fidelis Care's Utilization Management Department can provide authorization assistance from 8:30 a.m. to 5 p.m. Monday through Friday except on holidays.
For urgent situations that cannot wait until the next business day, please call 1-888-FIDELIS (1-888-343-3547) for access.
Fidelis Care has engaged the following vendors to assist with utilization management.
Delegated vendor who manages prior authorization requestsfor: Radiology Cardiology, Radiation Oncology, MusculoskeletalSurgery, Physical Therapy Services, Occupational Therapy Services, andSpeech Therapy Services.
Submit Prior Authorizations via Evolent
2026
2025
2024
Fidelis Care Medical Specialty Solutions – Provider Training Guide
Fidelis Care Physical Medicine Program - Provider Training Guide
Fidelis Care Physical Medicine FAQ
Provider Tip Sheet: Physical Medicine
Provider Tip Sheet: Spine MRI and Spine CT
Provider Tip Sheet: Cardiac Solution Program
Provider Tip Sheet: Transthoracic Echocardiography (TTE)
Quick Reference Guide: Physical Medicine
Quick Reference Guide: Cardiac Imaging Studies
Quick Reference Guide: Medical Specialty Solutions | For Ordering and Rendering Providers
Delegated vendor who manages prior authorization requests for: Cardiac and ENT Procedures.
Submit Prior Authorizations via TurningPoint Healthcare Solutions
TurningPoint Clinical Policies
Formularies, utilization management programs, and specialty drug programs.