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Provider Quality

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To ensure a continued focus on quality, Fidelis Care is dedicated to engaging with providers to ensure our members get the best care possible. Quality is a critical component of the work we do at Fidelis Care. The Provider Relations Department works diligently to support providers in quality improvement initiatives.


Hearthands


Provider Quality News


Invitation to Fidelis Care’s February Provider Office Hours
1/16/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care will host four Provider Office Hours in February 2026.
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New Clinical Quality Validation Tool Now Available on Availity
1/13/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care is pleased to announce that providers now have access the Availity Clinical Quality Validation (CQV) tool designed to help providers close care gaps quickly and accurately.
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Special Supplemental Benefits for the Chronically Ill (SSBCI)
1/8/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Special Supplemental Benefits for the Chronically Ill (SSBCI) can be offered to Medicare Advantage (MA) members who have one or more complex chronic conditions, are at high risk for hospitalization or adverse health outcomes and require intensive care coordination.
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Provider Office Hours

Fidelis Care hosts webinars called “Provider Office Hours” several times each month to share information and answer any of your questions. 
Find out more

Provider Satisfaction Survey

Your provision of quality care and services to our members contributes greatly to Fidelis Care’s success. One of the ways Fidelis Care prioritizes quality is making sure you are satisfied with your experiences. Our annual Provider Satisfaction Survey identifies areas to focus on for further improvement in the coming year. The Provider Relations Department works diligently to identify an action plan to address areas of improvement, while continuing to develop actions and interventions to improve the provider experience.

HEDIS® Measurement Year 2025 Toolkit

HEDIS® is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. We've developed this toolkit to help identify required preventive services.

Resources

Fidelis Care offers resources including Provider Bulletins, tip sheets, educational materials, blog posts, and more to keep you informed.

 

CURRENT PROVIDER BULLETIN

  • Help Prevent the Flu: Encourage Vaccination
  • COVID-19 Reminder
  • Cardiovascular Disease and Statin Therapy
  • Antibiotic Stewardship Starts with Awareness
  • CDC Recommendations for STI Treatment

 

Fall 2025 (PDF)