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.
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.
Fidelis Care is working to support the HEDIS Measure for Use of Imaging Studies for Low Back Pain (LBP). As defined by HEDIS, use of imaging studies for low back pain includes the percentage of members 18-50 years of age who had a primary diagnosis of low back pain and did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of diagnosis.
When submitting claims with a National Drug Code (NDC), please be sure to bill your claims with a valid unit of measure abbreviation. Listed below are the NDC valid units of measure abbreviations and their descriptions: