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Welcome, Providers!

Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page.


LATEST NEWS


Invitation to Fidelis Care’s November Provider Office Hours
10/29/2026 • Posted by Provider Relations

Fidelis Care will host four Provider Office Hours in November 2026. 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 2026

 

Topic: Fidelis Care – Back to Basics
When:  Thursday, November 5th – 9AM – 10AM EST
Click here to register*

 

Topic: Timely Access to Care – Access and Availability Standards
When:  Tuesday, November 10th – 2 PM – 3 PM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare - Quality Programs
When:  Wednesday, November 18th – 10:30 AM – 11:30 AM EST
Click here to register*

 

Topic: Fidelis Care – Pharmacy Overview
When:  Thursday, November 19th – 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 Timely Access to Care session will include:

  • Importance of Timely Care and Drivers
  • Health Plan Monitoring
  • Helpful Tools for Provider Survey Readiness
  • Impacts of Non-Compliance
  • Improving Access – Best Practices
  • Provider Resources

 

The Quality Office Hours session will include:

  • Importance of Directory Information
  • Quality Provider Web Page
  • Q4 CoC+ Push- High Complexity Patients
  • Preparing for Year End Data Submission for Gap Closure
    • Medical Record Collection
    • M365
    • CCA tool
    • SuDS File Submission
  • CPT II Best Practices
    • Documentation and coding tips to maximize measure performance

 

The Pharmacy session will include:

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

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Authorization Resources

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

Social Care Network

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

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