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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.


Hearthands

Quality Care Incentives (QCI) Program

Fidelis Care's QCI Program rewards groups/practices for providing recommended preventive care, for caring for members with chronic disease, and for comprehensive obstetrical care. As your health plan partner, we remain committed to rewarding our providers for achieving high-quality outcomes and have made significant changes to the program for measurement year 2024 to align with our shared goals, encourage participation, and recognize regional differences within New York State.

Fidelis Care’s Quality Care Incentives (QCI) Program is available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.

Within the brochure, we are providing a summary of the components of our QCI Program, along with the associated coding specifications, to help you drive improvements in quality and to reward you for your efforts. Fidelis Care also provides monthly care gap reports to track your incremental performance, and identify those patients who may benefit from needed care and services.

If you have any questions regarding Fidelis Care’s Quality Care Incentives, please contact your Quality Improvement Specialist.



Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Quality Improvement Specialists
NYC Region:

Name Coverage Area Assigned Counties and/or Providers
Brianni Blue Loftlin 

✉ Email Address

Brooklyn County: 11201, 11203, 11205, 11206, 11207, 11212, 11217, 11211, 11213, 11221, 11226, 11220, 11237, 11238, 11239, 11243, 11249 Brooklyn County
 Yen Min Yau

✉ Email Address

ZIP Codes: 11220, 11204, 11214, 11229 Kings County

Providers: CAIPA & Excelsior Empire Health Brooklyn Providers
 Zinaida Khavasova

✉ Email Address

Kings County: 11219, 11223, 11224, 11229, 11235, 11230, 11204, 11209, 11214, 11228, 11232, 11210,11239, 11218 Kings County

Providers: Maimonides, One Brooklyn Health System: (Interfaith, Brookdale and Kingsbrook) 
 Michael Gayle

✉ Email Address

All ZIP Codes in the Bronx except for providers/groups assigned to an IPA (Balance, Bronx United) Bronx County

Providers: Boston Children's Health Physicians (Westchester County), Northwell (All Affiliated TINs) 
 Stanley Laforest

✉ Email Address

ZIP Codes: 10003, 10004, 10005, 10006, 10007, 10009, 10010, 10011, 10012, 10014, 10016, 10017, 10018, 10019, 10020, 10021, 10022, 10023, 10024, 10025, 10026, 10027, 10029, 10030, 10031, 10032, 10033, 10034, 10035, 10036, 10038, 10039, 10040, 10041, 10044, 10047, 10048, 10128 Various Counties
 Adebunmi (Bunmi) Browne

✉ Email Address

Various ZIP Codes Providers: Balance Medical IPA
 Osaruyi Eduwen

✉ Email Address

Queens County ZIP Codes: 11101, 11102, 11103, 11104, 11105, 11106, 11368, 11369, 11370, 11371, 11372, 11373, 11374, 11375, 11377, 11378, 11379, 11385 Queens County
 Rui Kang (Ray) Lin

✉ Email Address

Queens County ZIP Codes: 111354, 11355
Queens County
Providers: CAIPA & Excelsior Empire Health Queens Provider
 Rosemond Guillaume

✉ Email Address

ZIP Codes: 11365, 11366, 11367, 11411, 11412, 11413, 11414, 11415, 11421, 11422, 11430, 11433, 11434, 11435; 11416, 11417, 11419, 11420, 11423, 11426, 11427, 11428, 11429, 11432, 11418, 11436, 11691, 11692, 11693, 11694, 11697
Various Counties

 Taylor Panzarella
✉ Email Address


Rockland and Westchester Counties: 10977, 10952, 10956, 10901, 10954, 10965, 10980, 10970, 10960, 10989, 10927, 10994, 10923, 10920, 10962, 10983, 10913, 10993, 10974, 10984, 10986, 10968, 10964, 10976, 10931, 10911, 10982, 10701, 10801, 10573, 10705, 10583, 10550, 10704, 10562, 10598, 10710, 10558, 10566, 10557, 10708, 10552, 10703, 10567, 10605, 10543, 10591, 10603, 10805, 10549, 10580, 10804, 10538, 10606, 10528, 10514, 10530, 10803, 10604, 10553, 10570, 10536, 10601, 10520, 10707, 10522, 10523, 10595, 10510, 10709 Rockland and Westchester County

 Haneefah Mahdi

✉ Email Address

Richmond County ZIP Codes: 10301, 10302, 10303, 10304, 10305, 10304, 
10305, 10306, 10307, 10308, 10309, 10310, 10311, 10312, 10313, 10314
Richmond County

Providers: Amboy Medical Practice, Bon Secours, NYC  Health & Hospitals, Refuah Health Center
 Leidy Mejia

✉ Email Address

Nassau County ZIP Codes: 11096, 11509, 11510, 11516, 11518, 11520, 11550, 11552, 11553, 11554, 11555, 11557, 11558, 11559, 11563, 11565, 11566, 11570, 11572, 11575, 11580, 11581, 11598, 11709, 11710, 11756, 11758, 11762, 11783, 11793,11001, 11020, 11021, 11023, 11024, 11030, 11040, 11042, 11050, 11501, 11507, 11514, 11530, 11542, 11545, 11548, 11560, 11568, 11576, 11577, 11579, 11590, 11596, 11714, 11732, 11735, 11753, 11771, 11791, 11797, 11801 Nassau County
 Robert Dean

✉ Email Address

Suffolk County ZIP Codes: 11720, 11721,  11724, 11725,11729;11731, 11733, 11738, 11740, 11741, 11742, 11743, 11746, 11747, 11754, 11757, 11763, 11764, 11766, 11768, 11769, 11776, 11777, 11778, 11780, 11782, 11784, 11786, 11787, 11788, 11790, 11794, 11901, 11930, 11931, 11933, 11934, 11935, 11937, 11939, 11940, 11941, 11942, 11944, 11946, 11948, 11949, 11950, 11951, 11952, 11953, 11954, 11701, 11702, 11703, 11704, 11705, 11706, 11707, 11708, 11709, 11713, 11715, 11716, 11717, 11718, 11722, 11727, 11750, 11751, 11752, 11755, 11767, 11772, 11779, 11789, 11792, 11795, 11796, 11798, 11955, 11957, 11958, 11959, 11961, 11962, 11963, 11964, 11965, 11967, 11968, 11970, 11971, 11975, 11976, 11977, 11978, 11980 Suffolk County
 Kay Stewart-Benjamin

✉ Email Address

Kings County: 11238, 11212, 11234, 11236 Kings County

Providers: NYU and Affiliates,  NYPHS and Affiliates, Mount Sinai and Affiliates
 Nadia Oleniak

✉ Email Address

ZIP Codes: 02886, 06484, 06518, 07020, 10002, 10003, 10006, 10007, 10010, 10013, 10016, 10017, 10019, 10027, 10023, 10025, 10029, 10032, 10034, 10036, 10037, 10075, 0301, 10304, 10305, 10312, 10451, 10452, 10455, 10457, 10458, 10459, 10461, 10462, 10463, 10464, 10466, 10469, 10508, 10523, 10604, 10952, 11042, 11102,  11103, 11104, 11203, 11204, 11206, 11207, 11208, 11209, 11210, 11212, 11213, 11214, 11215, 11216, 11218, 11219, 11220, 11223, 11224, 11226, 11228, 11229, 11230, 11234, 11235, 11236, 11237, 11238,  11354, 11355, 11358, 11360, 11361, 11362, 11364, 11365, 11368, 11372, 11373, 11374, 11375, 11377, 11385, 11411, 11416, 11418, 11419, 11423, 11427, 11432, 11435, 11436, 11691, 11772, 11940 Various Counties
 Steven Lee

✉ Email Address

ZIP Codes: 10002, 10013, 10314

Counties: Manhattan, Richmond

Providers: Charles B. Wang Community Health Center, CAIPA Manhattan Providers, Excelsior Empire Health Manhattan Providers, CAIPA Staten Island Providers


Upstate Regions:

Name Coverage Area
Assigned Counties and/or Providers
 Jane Sanderson

✉ Email Address

Rensselaer County: 12180, 12144, 12182, 12061, 12033, 12198, 12090, 12179, 12018, 12123, 12196, 12154, 12138, 12121, 12094, 12185, 12168, 12062, 12052, 12156, 12140, 12153, 12028 ,12057, 12022 12169, 12063, 12082, 12181, 12089, 12133, 12040                                                                                   

Saratoga County:  12065, 12866, 12020, 12010, 12831, 12118, 12019, 12188, 12828, 12803, 12148, 12822, 12170,  12871, 12025, 12833, 12134, 12027, 12850, 12074,12859, 12835, 12151, 12863, 12086,  12884 

Schenectady County:  12008, 12053, 12056, 12137 , 12141, 12150 , 12301, 12302, 12303, 12304, 12305 , 12306 ,12307,12308, 12309, 12325, 12345  

Washington County:  12839, 12828, 12834, 12832, 12887, 12827, 12816, 12865, 12809, 12154, 12094, 12821, 12185, 12028, 12057, 12837, 12873, 12861, 12819, 12823, 12838, 12849, 12841, 12844, 12848, 12854 
Counties: Rensselaer, Saratoga, Schenectady, Washington


 Barbara Bentley-Morrill

✉ Email Address

Albany County: 12309, 12203, 12205, 12303, 12047, 12208, 12304, 12110, 12189, 12054, 12206, 12211, 12210, 12209, 12009, 12202, 12159, 12204, 12077, 12158, 12186, 12143, 12084, 12053, 12083, 12111, 12183, 12262, 12222, 12023, 12067, 12207, 12193, 12059, 12087, 12469, 12046, 12120, 12147, 12226, 12460, 12041, 12234, 12085, 12007, 12201, 12212, 12214, 12220, 12223, 12224, 12225, 12227, 12228, 12229, 12230, 12231, 12232, 12233, 12235, 12236, 12237, 12238, 12239, 12240, 12241, 12242, 12243, 12244, 12245, 12246, 12247, 12248, 12249, 12250, 12255, 12257, 12260, 12261, 12288, 12107, 12128, 12161, 12045, 12055

Clinton County:  12901, 12972, 12962, 12918, 12992, 12919, 12944  12981, 12910, 12958, 12921, 12935, 12912, 12903 ,12979, 12929 ,12959, 12985, 12934, 12923, 12955, 12952, 12911, 12924, 12978, 12933 

Columbia County: 12534, 12571, 12184, 12526, 12037, 12075, 12546, 12106, 12529, 12583, 12567, 12060, 12173, 12516, 12521, 12523, 12156, 12125, 12029, 12502, 12136, 12565, 12503, 12017, 12130, 12513, 12517, 12115, 12024, 12165, 12132, 12593, 12174, 12530, 12195, 12172, 12050, 12541, 12544

Essex County: 12983, 12946, 12883, 12944, 12928, 12912, 12870, 12941, 12960, 12974, 12996, 12932, 12997, 12993, 12943, 12950, 12851, 12936, 12987, 12913, 12956, 12857, 12852, 12942, 12998, 12964, 12961, 12855, 12858, 12975, 12977, 12872, 12879 

Franklin County: 12953, 12983, 12986, 12966, 13655, 12920, 12926, 12916, 12957, 12937, 12917, 12980, 12989, 12914, 12970, 12945, 12930, 12976, 12913, 12955, 12969, 12995, 12915, 12939, 13683   

Greene County: 12414, 12051, 12143, 12083, 12015, 12413, 12192, 12496, 12058, 12463, 12431, 12468, 12451, 12087, 12430, 12423, 12473, 12427, 12436, 12442, 12405, 12480, 12418, 12470, 12424, 12450, 12444, 12485, 12492, 12482, 12422, 12454, 12407, 12460, 12042, 12176, 12439, 12490, 12452, 12124   

Warren County: 12804, 12801, 12845, 12885, 12846, 12817, 12853, 12814, 12856, 12843, 12815, 12824, 12878, 12808, 12836, 12810, 12860, 12874, 12844, 12862, 12886, 12811, 12820  
Counties: Albany, Clinton, Essex, 
Columbia, Greene, Warren

Providers: All Vermont Providers, Silver Springs Health Care Management, Saratoga Regional Medical, Twin River Medical

 Jaime Laube

✉ Email Address

Orange County: 10950, 12550, 10940, 12553, 10990, 12589, 10941, 10924, 12771, 10918, 12566, 12549, 10980, 12586, 10930, 10992, 10928, 12721, 12518, 10963, 10916, 10998, 10921, 10987, 10925, 12575, 10958, 10926, 12577, 12780, 12520, 10973, 10986, 12729, 12746, 12543, 10969, 10996, 10917, 10919, 10975, 10914, 10922, 10933, 12785, 10911, 10943, 10985, 10910, 10912, 10915, 10932, 10949, 10953, 10959, 10979, 10981, 10988, 10997, 12551, 12552, 12555, 12584  

Putnam County: 10541, 10512, 10509, 12563, 10579, 10516, 10524, 12531, 10588, 10537, 10542

Sullivan County: 12701, 12721, 12754, 12790, 12758, 12788, 12747, 12776, 12783, 12775, 12764, 12723, 12789, 12729, 12768, 12740, 12748, 12737, 12779, 12763, 12734, 12726, 12719, 12733, 12759, 12732, 12777, 12765, 12751, 12760, 12762, 12786, 12725, 12766, 12742, 12743, 12770, 12785, 12778, 12741, 12720, 12745, 12738, 12750, 12724, 12749, 12736, 12769, 12787, 12791, 12792, 12752, 12767, 12781, 12784, 12722, 12727  

Ultser County:  12401, 12477, 12561, 12589, 12528, 12566, 12428, 12446, 12542, 12758, 12443, 12487, 12498, 12404, 12525, 12547, 12449, 12484, 12466, 12458, 12548, 12455, 12440, 12491, 12461, 12740, 12486, 12515, 12409, 12494, 12472, 12464, 12406, 12481, 12410, 12480, 12456, 12457, 12433, 12725, 12411, 12419, 12435, 12495, 12416, 12412, 12448, 12475, 12429, 12465, 12493, 12490, 12471, 12441, 12489, 12483, 12782, 12402, 12417, 12420, 12432, 12453, 12568, 12588  

Counties: Orange, Putnam,
Sullivan, Ulster

Providers: Hudson Valley Regional Community Health
 Penny Patterelli

✉ Email Address

Oneida County: 13440, 13501, 13502, 13413, 13421, 13323, 13492, 13403, 13316, 13309, 13308, 13354, 13476, 13478, 13480, 13456, 13438, 13495, 13471, 13461, 13042, 13424, 13417, 13363, 13318, 13425, 13490, 13431, 13054, 13304, 13477, 13338, 13328, 13303, 13322, 13321, 13486, 13441, 13469, 13319, 13494, 13440, 13501, 13502, 13413, 13421, 13323, 13492, 13403, 13316, 13309, 13308, 13354, 13476, 13478, 13480, 13456, 13438, 13495, 13471, 13461, 13042, 13424, 13417, 13363, 13318, 13425, 13490, 13431, 13054, 13304, 13477, 13338, 13328, 13303, 13322, 13321, 13486, 13441, 13469, 13319, 13494, 13483, 13157, 13455, 13352, 13162, 13301, 13435, 13341, 13362, 13401, 13313, 13123, 13442, 13449, 13479, 13503, 13504, 13505, 13599  

Otsego County:  13820, 13326, 13849, 13439, 13491, 13411, 13825, 12197, 13843, 13320, 12155, 13809, 13807, 13810, 13335, 13315, 13808, 13750, 12116, 13485, 13348, 13796, 13361, 13337, 13468, 13861, 12064, 13776, 13450, 12036, 13342, 13333, 13415, 13488, 13859, 13860, 13457, 13482, 13747, 13834   

Schoharie County: 12043, 12053, 12122, 12157, 12149, 12023, 13459, 12066, 12093, 12167, 12092, 12076, 12469, 12160, 12187, 12175, 12035, 12064, 12031, 12036, 12194, 12071, 12131, 12073
Counties: Oneida, Otsego,
Schoharie
 Jeannie Vanhoeven

✉ Email Address

Fulton County: 12010, 12078, 12095, 12025, 13452, 13329, 12117, 12070, 12032, 12086, 13470 

Hamilton County: 12134, 13324, 12842, 13454, 12856, 12032, 12108, 12847, 12190, 13360, 12139, 13436, 12812, 12164, 13353, 12864

Montgomery County: 12010, 13339, 13452, 13317, 12068, 12072, 12070, 12066, 12166, 12137, 13428, 12086, 12177, 13410, 12069, 12016  

Saint Lawrence County: 13662, 13676, 13669, 13617, 13642, 12986, 13667, 13668, 13658, 13646, 13613, 13654, 13697, 13625, 13648, 13679, 13660, 13652, 13630, 13684, 13694, 13680, 13681, 12980, 13621, 12967, 13635, 12914, 13690, 13687, 13672, 13670, 13633, 12927, 12965, 13614, 13666, 13695, 13664, 12922, 13639, 12973, 13649, 12949, 13623, 13645, 13647, 13677, 13678, 13696, 13699 

Herkimer County: 13502, 13350, 13357, 13367, 13365, 13340, 13339, 13407, 13439, 13329, 13456, 13491, 13438, 13416, 13324, 13431, 13338, 13322, 13454, 13420, 13361, 13690, 13670, 13494, 13406, 13472, 13331, 13475
Counties: Fulton, Hamilton, Montgomery, Saint Lawrence, Herkimer

Providers: Bernadot Pediatrics, Whitney M Young Health, Northern Medical Group, Nuvance Health Medical Practice, St Regis Mohawk Tribe 





 Sarah Freyer

✉ Email Address

Broome County: 13760, 13850, 13905, 13790, 13903, 13901, 13904, 13865, 13803, 13862, 13833, 13748, 13787, 13795, 13746, 13754, 13730, 13797, 13835, 13813, 13744, 13802, 13777, 13737, 13745, 13749, 13761, 13762, 13763, 13794, 13826, 13848, 13851, 13902

Chenango County: 13815, 13778, 13830, 13733, 13460, 13787, 13411, 13746, 13040, 13730, 13332, 13843, 13809, 13052, 13464, 13813, 13072, 13801, 13844, 13780, 13129, 13832, 13155, 13136, 13841, 13758, 13124, 13814   

Delaware County: 13820, 13856, 13753, 13849, 13838, 13754, 13783, 12776, 12455, 12093, 13775, 12167, 13788, 12474, 13750, 13839, 12468, 13757, 13752, 13739, 12406, 12430, 13731, 13782, 13755, 13842, 12760, 13756, 13740, 12421, 13846, 13786, 12465, 13804, 13806, 12438, 13751, 12434, 13837, 13774, 13860, 12459, 13847 

Madison County: 13032, 13421, 13037, 13035, 13346, 13082, 13491, 13408, 13030, 13409, 13332, 13402, 13334, 13355, 13052, 13485, 13072, 13061, 13122, 13310, 13418, 13163, 13314, 13364, 13043, 13134, 13465, 13484  

Dutchess County: 12603, 12601, 12590, 12533, 12508, 12524, 12538, 12569, 12571, 12572, 12540, 12564, 12570, 12582, 12522, 12545, 12580, 12531, 12594, 12546, 12581, 12514, 12501, 12583, 12578, 12567, 12592, 12585, 12507, 12604, 12574, 12602, 12504, 12506, 12510, 12511, 12512, 12527, 12537
Counties: Broome, Chenango, Delaware, Madison, Dutchess

Providers: Columbia Family Medience Clinic, Kudos Medical, Oneida Nation Health Services

 Maureen Hudson

✉ Email Address

Erie County ZIP Codes: 14004, 14026, 14031, 14043, 14051, 14059, 14086, 14094, 14202, 14203, 14206, 14209, 14212, 14214, 14215, 14216, 14217, 14220, 14225, 14226 Counties: Erie, Niagara

Providers: Mount St. Mary's Hospital, Primary Care of WNY, Sisters Hospital, Trinity Medical WNY, WNY Medical                                         
 Christine Santiago

✉ Email Address

Allegany County: 14706, 14709, 14711, 14715, 14727, 14802, 14803, 14804, 14806, 14813, 14822, 14880, 14884, 14895

Cattaraugus County: 14042, 14070, 14101, 14138, 14171, 14706, 14723, 14727, 14731, 14737, 14760, 14772, 14779

Chautauqua County: 14701, 14702, 14048, 14063, 14136, 14787

Steuben County: 14572, 14810, 14898
Counties: Allegany, Cattaraugus, Chautauqua, Erie, Niagara, Steuben

Providers: Family Health Medical Services, Great Lakes Physician Practice, Jamestown Pediatrics, Jones Memorial, Keuka Family Practice, UPMC
 Christine Jendraszek

✉ Email Address

Various  
Counties: Monroe, Orleans, Niagara

Providers:  Anthony Jordan, Erie County Medical Corporation, Kaleida Health, Oak Orchard, Niagara Falls Memorial Hospital, Paul DeJac  
 Robert Chantra

✉ Email Address

Ontario County: 14424, 14456, 14564, 14425, 14522, 14469, 14432, 14487, 14548, 14512, 14532, 14485, 14561, 14471, 14560, 14544, 14466, 14504, 14475, 14537, 14585, 14461, 14463, 14518, 14443, 14453, 14547 Counties: Monroe and Ontario 

Providers: Canton-Potsdam Hospital, Canton-Potsdam Medical Practice, Gouverneur Hospital, GRIPA, Guthrie Medical Group, Massena Hospital, St Lawrence Health Systems, Strong/University of Rochester              
 Nicole Lloyd

✉ Email Address

Cayuga County: 13021, 13022, 13024, 13026, 13033, 13034, 13064, 13071, 13081, 13092, 13111, 13113, 13117, 13118, 13139, 13140, 13147, 13156, 13160 and 13166

Chemung County: 14814, 14816, 14825, 14838, 14845, 14861, 14864, 14871, 14872, 14889, 14894, 14901, 14902, 14903, 14904 and 14905

Jefferson County: 13601, 13602, 13603, 13605, 13606, 13607, 13608, 13611, 13612, 13615, 13616, 13618, 13619, 13622, 13624, 13628, 13632, 13634, 13636, 13637, 13638, 13640, 13641, 13643, 13650, 13651, 13656, 13659, 13661, 13665, 13671, 13673, 13674, 13675, 13679, 13682, 13685, 13691, 13692 and 13693

Lewis County: 13305, 13309, 13312, 13325, 13327, 13343, 13345, 13367, 13368, 13404, 13433, 13473, 13489, 13620, 13626, 13627, 13631, 13648 

Schuyler County: 14886, 14837, 14891, 14812, 14865, 14818, 14864, 14869, 14878, 14824, 14805, 14841, 14815, 14876, 14887, 14863

Seneca County:  14850, 14456, 13165, 13148, 14886, 14532, 14521, 13146, 14847, 14541, 14860, 14841, 13065, 14588

Yates County: 14415, 14418, 14441, 14478, 14507, 14527, 14544, 14837, 14842, 14857 and 14878
Counties: Cayuga, Chemung, Jefferson, Lewis, Schuyler, Seneca and Yates

Providers: Lewis County General Hospital, Arnot Ogden, Arnot Medical Services, Auburn Community Hospital and Auburn Memorial Medical Services, Finger Lakes Migrant 
 Karen Yonkers-Santy

✉ Email Address

Cortland County: 13045, 13077, 13159, 13803, 13053, 13040, 13101, 13835, 13052, 13158, 13141, 13863, 13841, 13087, 13738, 13056, 13784

Oswego County: 13126, 13069, 13036, 13114, 13142, 13135, 13074, 13167, 13132, 13131, 13044, 13042, 13493, 13076, 13111, 13083, 13661, 13302, 13145, 13144, 13028, 13437, 13103, 13426, 13093, 13107, 13115, 13121                                
Tioga County:  13760, 13827, 14892, 13732, 13811, 14883, 13743, 13812, 13736, 13734, 13835, 13864, 14859, 13840, 13845            

Tompkins County: 14850, 13068, 14886, 13073, 14867, 13053, 14883, 14882, 13736, 14817, 13864, 14853, 14881, 14852, 13062, 13102, 14851, 14854
Counties: Cortland, Oswego, Tioga,
Tompkins

Providers: Family Health Network of CNY, Northern Oswego County Health Services Inc., Oswego County OB-GYN
 Peter Stone

✉ Email Address

Onondaga County: 13027, 13090, 13210, 13208, 13212, 13088, 13204, 13039, 13203, 13205, 13206, 13031, 13104, 13057, 13219, 13215, 13207, 13041, 13066, 13209, 13078, 13260, 13224, 13152, 13214, 13029, 13202, 13077, 13108, 13211, 13135, 13159, 13084, 13082, 13080, 13120, 13030, 13116, 13110, 13164, 13060, 13063, 13112, 13141, 13122, 13020, 13153, 13201, 13217, 13218, 13220, 13221, 13225, 13235, 13244, 13250, 13251, 13252, 13261, 13290, 13051, 13089, 13119, 13137, 13138 Onondaga County                                                                                         
Providers: Brighton Hill Pediatrics, Buckley Road Pediatrics, Camillus Family Health Associates, Crouse Medical Practice, Department of Medicine, Family Care Medical Group, Lyndon Pediatrics, Pediatric Service Group, Pediatric Associates, Summerwood Pediatrics, Trinity Partners including: St Joseph Hospital Health Center, St Josephs Medical PC, St Peters Health Partners, St Peters Health Partners Medical Associates, Samaritan Hospital of Troy, Upstate Family and Preventative Medicine

 Marissa Harvey

✉ Email Address

 Main Street Rural Health, Providers Only All providers regardless of county that are part of Main Street Rural Health
 Abenaa Danquah

✉ Email Address

Erie County: 14026, 14031, 14051, 14059, 14086, 14202, 14203, 14206, 14209, 14212, 14215, 14217, 14224, 14225 and 14226 Select providers in all of the following counties: Monroe, Cattaraugus, Chautuaqua, Erie, Niagara, Onondaga,  Steuben, Schuyler, Tompkins, and Wyoming                                                                                         
Providers: Alicia W Hermogenes, MD, PC, Allegany Family Medicine, Bohdan Dejneka, MD dba Holiday Pediatrics, Danilo Saldana, Denise C Wolken, MD, PLLC, 
Eastside Pediatrics, PLLC, Edward OBrien III, MD, 
Erie County Health Dept/ECHD Accounting Office, Family Practice Associates of Dryden, Finger Lakes Internists, LLP, Intention Internal Medicine, J&E Medical Specialties, PC, Jones Medical, PLLC dba: Syracuse Pediatrics, Mendon Pediatrics, PLLC, Michael Cilip, MD, Northeast Pediatrics & Adolescent Medicine, LLP, Patchwork Pediatrics, Philip Penepent, Phillip M Schirck, MD, PLLC, Phoenix Rising Medical, PC, Reach Medical PLLC, South Street Health Services Family Health & Psychiatry


Provider Office Hours

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

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 materialsblog posts, and more to keep you informed.


 

SUMMER 2025 PROVIDER BULLETIN


  • Championing Mental Health: Early Intervention is Key
  • Important Reminders About HIV Prevention and Testing
  • Supporting Maternal Health for Healthy Pregnancies and Babies
  • Encourage Preventive Cancer Screenings
  • Help Your Patients of All Ages Stay Active!

 

 

Provider Quality News


2022 Year in Review: Fidelis Care Helps Members and Local Communities Address Health Challenges across the State
1/23/2023 • Posted by Fidelis Care in Corporate News, Health-Related Social Needs, In The Community

In 2022, communities across New York continued to experience health and wellness challenges related to the COVID-19 pandemic; social determinants of health (SDoH), such as food insecurity and affordable housing; mental health issues; and much more. Through it all, statewide health plan Fidelis Care partnered with a variety of providers and agencies to support local communities through grassroots programs and events, education, and action.

Fidelis Care worked with over 1,700 organizations and coordinated more than 3,500 events – all a reflection of the company’s mission to transform communities, one person at a time. Recognizing the impact of SDoH, for example, Fidelis Care expanded support and took action to empower and uplift communities through health and wellness initiatives addressing critical areas such as access to vaccines, early childhood literacy, Black maternal health, transportation, healthy nutrition, and more.

“Across the state, we came together with partners, providers, and local leaders to provide support for local residents where it was needed most,” said Fidelis Care Chief Medical Officer Vincent Marchello, MD. “We worked to address critical health challenges and provide solutions that would make a difference in the lives of those most in need. I’m proud of all that we accomplished and know our commitment to support the health and wellness of all New Yorkers will continue as we look to the coming year.”

 

Key community initiatives for Fidelis Care in 2022 included:

  • Standing With Buffalo

In the wake of the tragic shooting at the Tops Supermarket in Buffalo on May 14, Fidelis Care mobilized to help the community and meet the needs of its members and local residents. Fidelis Care donated over $11,000 of food, personal care items, formula, and diapers to residents affected by the tragedy. In the fall, Fidelis Care donated $60,000 of free bus passes for residents in East Buffalo to improve their access to transportation and quality of life. The bus passes were available to community members through the Resource Council of WNY from September through December.

  • Diversity Through Literacy

Fidelis Care partnered with Literacy Inc. in New York City to promote early literacy and foster diverse representation in children’s literature. Fidelis Care donated more than 1,000 books that featured stories representing racial diversity.

  • Veggies to Go

In August, Fidelis Care launched a new initiative to help address food insecurity in low-income neighborhoods. Through key partnerships and working with local farmers, Fidelis Care provided more than 21,000 pounds of free fruits and vegetables to residents during several events across the state. 

  • Backpack Heroes

Fidelis Care partnered with the Regional Food Bank of Northeastern New York and CBS-affiliate WRGB-6 in Albany for the 7th annual Backpack Heroes campaign, which addresses weekend childhood hunger in the Capital Region. The campaign raised more than $110,000, bringing its 7-year total to over $500,000. More than 3,000 students have received backpacks full of nutritious food.

  • School Supply Giveaway at The Strong Museum

Fidelis Care and The Strong National Museum of Play in Rochester held a back-to-school event at the museum. Fidelis Care gave away hundreds of backpacks and other school supplies to families in need as they prepared for the start of school.

  • Adopt a Family program at The State Fair

Fidelis Care continued our support of the New York State Fair’s Adopt a Family program, which provides local, low-income families with free admission to the fair as well as food and entertainment vouchers. This summer, 1,800 people were able to attend the Fair in Syracuse through the program. 

 

These positive initiatives brought improved health and well-being throughout New York, while allowing Fidelis Care to support and build meaningful relationships within the communities we serve. These connections and grassroots initiatives remain a priority for Fidelis Care for 2023 and beyond.

 


About Fidelis Care

Fidelis Care is a mission-driven health plan offering quality, affordable coverage for children and adults of all ages and at all stages of life. With more than 2.5 million members statewide, Fidelis Care believes that all New Yorkers should have access to affordable, quality health insurance.

Follow us on LinkedIn at linkedin.com/company/fidelis-care, on Twitter at @fideliscare, Instagram at @fideliscare, and on Facebook at facebook.com/fideliscare. For more information, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547).