Provider Quality

Provider-Quality

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.

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Provider Quality News

Invitation to Fidelis Care’s November Provider Office Hours

10/23/2025 • Posted by Provider Relations in Provider News, Provider Quality

Office Hours

Fidelis Care will host three Provider Office Hours in November 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

Provider Office Hours – November 2025

Topic: Fidelis Care – Back to Basics

When: Thursday, November 13^th – 9AM – 10AM EST

Click here to register*

Topic: Fidelis Care and Wellcare - Quality Programs

When: Wednesday, November 19^th – 10 AM – 11 AM EST

Click here to register*

Topic: Fidelis Care – Pharmacy Overview

When: Thursday, November 20^th – 2 PM – 3 PM EST

Click here to register*

*Attendance will be limited to the first 300 registrants for each session.

The Back to Basics session will include:

Important Updates/Information
Product Portfolio
Credentialing and Demographic Changes
Authorization Requirements
Restricted Recipient Program (RRP) Overview
Vendor Information
Claims and Billing Information
Access and Availability Standards
Provider Tools & Resources

The Quality Office Hours session will include:

Importance of Directory Information
Quality Provider Web Page
End of Year Push for Medical Records
- Fax/Email
- M365 Upload
- WellCare Provider Portal
- Remote Access to QIS
- Onsite Chart Collection
CPT II Coding Opportunities
- Increase CPT II Admin Ratio
Connectivity
- SuDS
- Bi-directional feed
2025 CoC Appointment Agenda Program
- Submit remaining Agendas
- Remediate Held

The Pharmacy session will include:

Medication Formularies & Formulary Changes
Prescribing Guidelines & Fidelis Care Pharmacy
Medication Prior Authorization Best Practices
Restricted Recipient Program (RRP) Overview

Once you have registered, you will receive a confirmation email. If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Quality Improvement Specialist. To find your designated representative, please click the links above.

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.

HEDIS® 2025 Toolkit

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