Welcome, Providers!


 

LATEST NEWS


Wednesday • Posted by Provider Relations
Fidelis Care’s pharmacy benefit for Medicaid Managed Care and HARP was transitioned to NYRx, the New York State Medicaid Pharmacy program on April 1, 2023.
Last Week • Posted by Provider Relations
Fidelis Care has received notice from the Office of the Medicaid Inspector General (OMIG) of new compliance program requirements for Medicaid participating providers.
Last Week • Posted by Provider Relations
The Fidelis Care Provider Relations Department is committed to building strong and lasting relationships with our providers and their staff.
5/12/2023 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
5/12/2023 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available.
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Smiles-that-Shine

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.