Welcome, Providers!


Friday • Posted by Provider Relations
Fidelis Care is pleased to announce that, effective January 1, 2024, Express Scripts® will begin processing pharmacy claims for our plan members.
Last Week • Posted by Provider Relations
In an effort to continue promotion of quality improvement for services provided to Fidelis Care members, effective January 1, 2024, Fidelis Care is expanding its existing partnership with National Imaging Associates, Inc. (NIA)1 to provide the management and prior authorization of non-emergent Musculoskeletal (MSK) procedures.
Last Week • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective January 1, 2024.
11/21/2023 • Posted by Provider Relations
Fidelis Care would like to announce our annual Fluvention Campaign and encourage our providers to educate their patients on the benefits of an annual flu shot.
11/21/2023 • Posted by Provider Relations
Fidelis Care is pleased to announce a new Medicaid Authorization Requirement Lookup Tool to help improve the experience of providers.
Newer Articles
Older Articles



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.