The following sections of the Fidelis Care authorization grids have been updated effective October 1, 2019. The following services require prior authorization based on the health insurance product as outlined below:
Fidelis Care is pleased to inform you that the most recent 2019 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 07/15/2019.
Effective October 1, 2019, Ovulation enhancing drugs and related medical services are covered when billed with the appropriate infertility diagnosis codes:
Fidelis Care has partnered with the American Cancer Society (ACS), the New York State and City Departments of Health, and leaders of New York’s health care community to reduce the burden of cancer in New York.
Fidelis Care has engaged National Imaging Associates, Inc., a Magellan Healthcare Company, to implement a new prior authorization program to manage outpatient (office and hospital) habilitative and rehabilitative physical medicine services, including services rendered in the home, effective on October 1, 2019.