Welcome, Providers!



9/7/2022 • Posted by Provider Relations
On August 28, 2022, Governor Hochul issued Executive Order No. 4.12 (“EO 4.12”), which terminated the suspension of utilization review and internal and external appeal timeframes for hospitals.
9/6/2022 • Posted by Provider Relations
Legislation allows a medical practitioner/prescriber in limited circumstances to label and dispense prescription drugs directly to their patient for at-home self-administration.
9/1/2022 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective October 1, 2022.
9/1/2022 • Posted by Provider Relations
Fidelis Care has made changes to our Medicaid Managed Care, Child Health Plus (CHP), and HealthierLife (HARP) Formulary.
8/31/2022 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2022 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
Newer Articles
Older Articles




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.

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Utilization Management (UM)

Find information and links to external vendor authorization programs as well as links to internal Fidelis Care prior authorization resources.

Join Our Network

Apply to our provider network and become a part of the Fidelis Care mission.