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LATEST NEWS


3/25/2024 • Posted by Provider Relations
The METS program is an integrated, whole health approach to support members with significant behavioral health challenges. It includes behavioral health, medical, therapeutic, pharmacy, and supplemental services.
3/19/2024 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the medical record request letter and details for 2023 HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO). Please review these materials and send the requested documentation to Fidelis Care as soon as possible.
3/18/2024 • Posted by Rosanna Rojas, Fidelis Care Community Relations Manager
Resiliency defines my life. Throughout the years, I have drawn inspiration from phenomenal women who have modeled this quality for me and countless others. While in college, I had the privilege of meeting the acclaimed poet, Maya Angelou, and hearing her speak about overcoming enormous obstacles to create a life of which she was proud. Ms. Angelou survived segregation, racism, sexual abuse, and her own insecurities to inspire others to be their best selves. She used her talents and grit to become a civil rights activist and an accomplished author, professor, poet, director, and composer. Her message was one of love, hope, and courage. Ms. Angelou showed me how every person can rise from tragedy and hardship to live a meaningful life.
3/13/2024 • Posted by Fidelis Care
Fidelis Care Chief Medical Officer Dr. Vincent Marchello presented a $20,000 maternal health grant to Life of Hope in Brooklyn. The funding is one of nine grants awarded to community-based not-for-profit organizations that support maternal health and wellness across New York State. The grants, totaling $158,000, will assist these organizations that play a vital role in ensuring safe pregnancies and healthy babies – particularly for underserved, lower-income women and their families.
3/13/2024 • Posted by Provider Relations
As of January 1, 2024, Fidelis Care has partnered with MCG Health to implement the MCG Cite Guideline Transparency Tool. Providers can access this feature through the Fidelis Care Provider Portal.
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Provider Access Online

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

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Authorization Resources

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

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.