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LATEST NEWS


Participation Requested: Pharmacy Services Formulary Provider Survey
Today • Posted by Provider Relations
The Fidelis Care Pharmacy Team is requesting your feedback!
Read More
Important Insurance Renewal Information for Fidelis Care Members
Today • Posted by Provider Relations
As your health plan partner, Fidelis Care would like to share critical information about changes coming soon in Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, and MLTC programs across New York State.
Read More
The New Quality Care Incentives (QCI) Brochure for 2023 is Available
Friday • Posted by Provider Relations
Fidelis Care is pleased to announce the new Quality Care Incentives (QCI) Brochure is now available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.
Read More
Wellness 360 Training Series for Health Homes
Friday • Posted by Provider Relations
Fidelis Care will be hosting our first ever educational webinar series for our Health Home partners entitled “Wellness 360 for Health Homes”. Health Homes provide community-based care management for Medicaid recipients with chronic medical and behavioral health conditions.
Read More
New Assertive Community Treatment Guidance
Friday • Posted by Provider Relations
Fidelis Care has received new guidance from the New York State Office of Mental Health (OMH) regarding Assertive Community Treatment (ACT) utilization management for requested services.
Read More
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Provider Access Online

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

Log In

Member Renewal Information

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

Learn More

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

Apply Online

 

 

 

Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

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

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

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

UM Resources