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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 to find your designated Provider Relations Specialist.

 

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LATEST NEWS


Formulary Changes – Fourth Quarter 2022
11/29/2022 • Posted by Provider Relations

Fidelis Care has made changes to our Medicaid Managed Care/HealthierLife (HARP) and Child Health Plus (CHP) Formularies and Qualified Health Plans (Metal Level Products) and Essential Plan (EP) Formularies. Some of the changes relate to quantity limitations, authorization requirements, as well as drugs being removed and added to the formulary.

 

Please refer to the Medicaid Managed Care/HealthierLife (HARP) OTC Removals, updated in accordance with the New York State Department of Health requirements, and the Medicaid Managed Care/HealthierLife (HARP)/Child Health Plus (CHP) OTC Additions.

 


Provider Bulletin Archives

Assisting providers in staying abreast of the latest trends, policies, and studies.

Provider Access Online

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

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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