Fidelis Care is pleased to inform you that the most recent 2018 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 7/16/2018.
Two new behavioral health resources are now available on our website. These new resources were developed to highlight our Behavioral Health services and enhance our efforts around care transitions.
Please utilize the Peer/Support Groups and Social Support Resource Guide to assist in the coordination of members’ services by linking them to additional resources in their community.
Fidelis Care is reminding providers that Prior Authorizations can be requested online via Provider Access Online (provider portal), which is available 24/7 ~ any time of the day or night. For greater flexibility, use the “self-service” authorization form to submit your requests online when it is convenient for you ~ with no hold or wait time!
To get started:
Fidelis Care will make changes to our Medicaid Managed Care, Child Health Plus, and HealthierLife formulary effective September 1, 2018 and October 1, 2018. Some of the changes relate to quantity limitations, as well as drugs being removed and added to the formulary. To review the list and the effective dates, download formulary changes.
Beginning August 13, 2018, providers submitting electronic or paper claims for non-emergent transportation services will be required to submit the pick-up and drop-off location zip codes on the claim. Please follow the claim billing guidelines below.