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LATEST NEWS


Fidelis Care Authorization Grids Effective August 1, 2025
Wednesday • Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective August 1, 2025.
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Invitation to Fidelis Care’s July Provider Office Hours
Tuesday • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in July 2025. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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Reminder: Ambetter From Fidelis Care and Essential Plan – Pre-Exposure Prophylaxis (PrEP) and Post-exposure Prophylaxis (PEP) Cost-Share Waiver
Last Week • Posted by Provider Relations
Fidelis Care would like to remind our providers of plan changes for Ambetter From Fidelis Care and Essential Plans in response to a recent NY Senate Bill addressing copayments for PrEP and PEP medications.
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Reminder: Mandatory Medicaid Compliance Program
6/13/2025 • Posted by Provider Relations
Fidelis Care has received notice from the Office of the Medicaid Inspector General (OMIG) of new compliance program requirements for Medicaid participating providers.
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Reminder: 2025 Cultural Competency Training Requirements
6/13/2025 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
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Urgent and Concurrent Authorization Request Submission Methods
6/11/2025 • Posted by Provider Relations
Fidelis Care would like to remind providers that Urgent and Concurrent Authorization Requests cannot be submitted through the Provider Portal, as this will cause delays in processing.
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Provider Access Online

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Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.

UM Resources