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LATEST NEWS


Today • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective December 1, 2025.
Wednesday • Posted by Provider Relations
Fidelis Care is postponing the new Group and Family Therapy authorization requirements.
Monday • Posted by Provider Relations
NY State of Health has announced upcoming changes to the Essential Plan 5, effective July 1, 2026. To help current enrollees prepare, Fidelis Care members have started receiving official notifications from the state outlining these updates.
Last Week • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in November 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
Last Week • Posted by Provider Relations
As we approach the final quarter of the year, we’re entering a critical phase of the Continuity of Care (CoC) program. Our shared goal remains clear: to ensure patients receive timely, high-quality care while closing the most impactful clinical gaps by December 31.
Last Week • Posted by Provider Relations
Fidelis Care would like to inform providers that we are unable to accept calls from Artificial Intelligence (AI) entities or other automated systems to verify claim status, obtain remittance information, or respond to any other inquiries.
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Provider Access Online

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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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Required Cultural Competency Training

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Authorization Resources

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

Electronic Transactions

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Utilization Management (UM)

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