Welcome, Providers!

In an effort to improve the quality of care for our members, Fidelis Care will be requesting Essential Plan members select a Primary Care Provider (PCP) starting in 2024.

Fidelis Care is pleased to announce that, effective January 1, 2024, Express Scripts® began processing pharmacy claims for our plan members.

Fidelis Care has received notice from New York State that the NYRx Helpline for members will be transitioning to an existing Medicaid Helpline.

The Recipient Restriction Program (RRP) is a medical review and administrative mechanism whereby New York State (NYS) Medicaid members with a demonstrated pattern of abusing or misusing NYS Medicaid services may be restricted to a specific healthcare provider (i.e., hospital, clinic, physician) or pharmacy to coordinate services.

Fidelis Care is pleased to make the following webinars available to our provider partners.