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LATEST NEWS


11/27/2018 • Posted by Provider Relations
As a Medicare/Medicare-Medicaid provider, you know that quality health care is a high priority for Fidelis Care and the Centers for Medicare & Medicaid Services (CMS). CMS and the New York State Department of Health consider DMARD use an important quality measure in patients with Rheumatoid Arthritis (RA).
11/27/2018 • Posted by Provider Relations
Fidelis Care has posted a tip sheet with information from the Centers for Disease Control (CDC) on the importance of chlamydia screening.
11/27/2018 • Posted by Provider Relations
It is an exciting time in the advancement of biosimilar medicines technology and treatments for patients. Over the past few years, great progress has been made in the development and approval of more affordable biosimilar versions of innovative therapies that treat some of the most debilitating and serious health conditions.
11/7/2018 • Posted by Fidelis Care
As your health care partner, Fidelis Care is notifying you about key changes to how we will manage our members’ benefits for family planning and reproductive health services.  These changes will take place on January 1, 2019. 
11/2/2018 • Posted by Provider Relations
Fidelis Care has made changes to our Medicaid Managed Care, Child Health Plus, and HealthierLife Formulary effective in the 4th quarter 2018. Some of the changes relate to quantity limitations, authorization requirements, as well as drugs being removed and added to the formulary. To review the list and the effective dates, download formulary changes.
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Important Information on Coverage Decisions

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

Fidelis Care does not reward practitioners or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff that would encourage decisions that result in underutilization of services. 

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