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LATEST NEWS


6/28/2018 • Posted by Provider Relations
As of June 29, 2018, Fidelis Care's formulary for Medicaid Managed Care, Child Health Plus, and HealthierLife lines of business will no longer require a Prior Authorization for Aripiprazole (generic Abilify) Tablets for patients 6 years of age or older, within a quantity limit of #30 tablets/30 days.
6/27/2018 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community. Articles included are:
6/21/2018 • Posted by Provider Relations
Fidelis Care will make changes to our Medicaid Managed Care, Child Health Plus, and HealthierLife formulary effective August 1, 2018.
6/18/2018 • Posted by Fidelis Care
We are pleased to announce that all necessary regulatory approvals have been received for Fidelis Care to become part of the Centene family of health plans effective July 1, 2018.
5/31/2018 • Posted by Provider Relations
Fidelis Care will make changes to our Medicaid Managed Care, Child Health Plus, and HealthierLife formulary effective, July 1, 2018.  Some of the changes relate to step therapy, prior authorization, quantity limitations, and drugs being removed from the formulary.  To review the list, download formulary changes.
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Important Information on Coverage Decisions

Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on numerous health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

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