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LATEST NEWS


Measure Coding Education – Kidney Health Evaluation for Patients with Diabetes (KED) 82043 vs. 82044
5/14/2025 • Posted by Provider Relations
Diabetes is the leading cause of chronic kidney disease affecting almost one in three people. Clinical guidelines recommend that all people with diabetes have routine tests to detect kidney disease. However, less than half get the needed tests. 
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Improve Patient Outcomes with Conversio Health's COPD Management Program
5/14/2025 • Posted by Provider Relations
Wellcare and Conversio Health have partnered together to bring providers a comprehensive COPD condition management program to support managing high-risk patients with chronic respiratory conditions—target patient population includes members with a history of ED visits or hospitalizations.
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Important Update: Written Member Consent Requirement Postponed
5/14/2025 • Posted by Provider Relations
Earlier this month Fidelis Care notified providers that, pursuant to the regulatory requirements defined in Article 44 of the New York State Public Health Law for all Managed Care Organizations, it was implementing a change to its appeals process by requiring the submission of written member consent.
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UPDATE: Transition of School Based Health Center Benefit and Population into Medicaid Managed Care Effective May 1, 2025 - POSTPONED
5/6/2025 • Posted by Provider Relations
The implementation date for the transition of School-Based Health Center Services (SBHC) has been placed on hold.
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Find Your Designated Fidelis Care Provider Relations Specialist
5/5/2025 • Posted by Provider Relations
The Fidelis Care Provider Relations Department is committed to building strong and lasting relationships with our providers and their staff. To foster this partnership, we have assigned a Provider Relations Specialist to communicate important information and provide support to our providers.
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Invitation to Fidelis Care’s May Provider Office Hours
4/29/2025 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in May 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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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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