Welcome, Providers!

Fidelis Care has expanded its behavioral health care management program. This expansion included additional outreach and care coordination with behavioral health providers serving Fidelis Care members with higher needs for services and care coordination. Members were identified based on high utilization and/or a combination of low utilization of outpatient behavioral health services following an acute behavioral health inpatient or emergency department episode.

As a reminder, Fidelis Care will reduce payment for early elective deliveries without an acceptable medical indication. Claims for elective deliveries prior to 39 weeks, without medical indication, will be reduced as per New York State Medicaid policy.

The New York State Department of Health (SDOH) invites Certified Home Health Agencies (CHHA), Licensed Home Care Services Agencies (LHCSA), and Fiscal Intermediaries (FI), operating in NYS, to register for in-person Home Care Cost Report Outreach Sessions.

The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2020, and require prior authorization.

The Member - Primary Care Provider (PCP) Change Request Form has been updated and is available on this site.