Welcome, Providers!

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.

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).

Fidelis Care relies upon the receipt of membership information from the New York State Department of Health (SDOH) prior to issuing capitation payments. The date for receiving this information from the SDOH varies from month to month.

Fidelis Care is pleased to announce we have partnered with New Century Health (NCH) to implement a new oncology prior authorization program, Oncology Pathway Solutions. The program will make it easier for providers to effectively deliver quality patient care.

The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2021