Important Updates Regarding Coronavirus COVID-19
As an important resource for providers, we encourage you to access the information on Fidelis Care’s Provider Portal at providers.fideliscare.org. On the portal, you can:
• check claim status
• confirm member eligibility and benefits
• submit authorization requests
• check on the status of an authorization
• view provider remittance advice
We also encourage you to use Fidelis Care’s Interactive Voice Response as another way to check claim status and member eligibility.
Using these tools and resources will provide you with the information you need, 24/7, and help to reduce anticipated call volume and wait times for our Provider Call Center.
Emergency Preparedness Plan Providers should have an emergency preparedness plan in place for their facilities. The latest NYS-specific information can be found on the SDOH website at the following link: https://www.health.ny.gov/diseases/communicable/coronavirus/.
Below, we have summarized any waivers still active at this time as they relate to COVID services. If not explicitly called out below, any other services are to be considered business as usual. We will keep this summary up-to-date as information changes. Member-specific questions can be reviewed through the Provider Portal.
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COST-SHARE WAIVERS
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|
Type
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Line of Business
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Date of Cost-Share Waiver Reinstatement (DOS)
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COVID-19 Screening
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ALL
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6/1/2021
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COVID-19 Immunizations
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ALL
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Waiver Active
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COVID-19
Testing
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ALL
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Waiver Active
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COVID-19 Treatment
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Medicare/Dual
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6/1/2021
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|
Medicaid
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Waiver Active
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Marketplace
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Waiver Active
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Mental Health Services
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Medicare/Dual
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6/1/2021
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Medicaid
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6/15/2021
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Marketplace
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6/15/2021
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Telemedicine
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Medicare/Dual
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6/1/2021
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Telemedicine
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Marketplace
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6/28/2021
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PRIOR AUTHORIZATION WAIVERS
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|
Type
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Line of Business
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Date of Prior-Authorization Waiver Reinstatement (DOS)
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COVID-19 Immunizations
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ALL
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Waiver Active
|
|
COVID-19 Testing
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ALL
|
Waiver Active
|
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COVID-19 Treatment - Outpatient
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Medicaid/Marketplace
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6/15/2021
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|
Medicare/Dual
|
6/1/2021
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COVID-19 Treatment - Inpatient
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Medicaid/Marketplace
|
7/23/2021
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|
Medicare/Dual
|
4/23/2021
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Telemedicine
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Medicaid/Marketplace
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6/15/2021
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Medicare/Dual
|
6/15/2021
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