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LATEST NEWS


11/16/2020 • Posted by Provider Relations
The Centers for Medicare & Medicaid Services announced that starting November 10th 2020, Medicare beneficiaries can receive coverage of monoclonal antibodies to treat coronavirus disease 2019 (COVID-19) with no cost-sharing during the public health emergency (PHE).
11/16/2020 • Posted by Provider Relations
Fidelis Care is closely monitoring the COVID-19 developments across New York State and is following guidance from the New York State Department of Health (SDOH) and Department of Financial Services (DFS).
11/13/2020 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2020 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
11/10/2020 • Posted by Provider Relations
New York State is mandated to implement Electronic Visit Verification (EVV) for all Medicaid-funded personal care services (PCS) and home health care services (HHCS) that require an in-home visit by a provider.
11/3/2020 • Posted by Provider Relations
In an effort to increase transparency and simplify the authorization process, Fidelis will be implementing a new Short Stay Inpatient Admission policy for Medicare and Marketplace products, effective December 3rd, 2020.
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Important Information on Coverage Decisions

Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on many health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

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