Provider | Fidelis Care

Welcome, Providers!


LATEST NEWS


10/16/2023 • Posted by Provider Relations
The Fidelis Care Provider Relations Department is committed to building strong and lasting relationships with our providers and their staff.
10/10/2023 • Posted by Provider Relations
Effective April 1, 2023, Medicaid Managed Care Plan members, including youth placed in foster care, pharmacy benefits transitioned to NYRx, the Medicaid Pharmacy program.
10/6/2023 • 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.
9/29/2023 • Posted by Provider Relations
Fidelis Care would like to share some exciting news with you regarding the brand name of our Qualified Health Plans (QHPs).
9/29/2023 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2023 QARR Non-Compliance Report has been posted on Provider Access Online (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.

Join Our Network

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

 

 

 

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.