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LATEST NEWS


2/22/2023 • Posted by Provider Relations
The New York State (NYS) Department of Health (DOH) Disability and Health program, in partnership with nine other state Disability and Health programs, is sponsoring two free online trainings for health care providers regarding accessible care and communicating effectively with people with disabilities
2/16/2023 • Posted by Provider Relations
Fidelis Care has updated the clinical policy for Applied Behavioral Analysis (ABA) FC.BH.301.04 and the ABA authorization form.
2/15/2023 • Posted by Provider Relations
Effective April 1, 2023, Medicaid members enrolled in Fidelis Care Managed Care Plans, Health and Recovery Plans (HARPs), and HIV-Special Needs Plan (SNPs) will begin to receive their pharmacy benefits through NYRx, the Medicaid Fee-for-Service (FFS) Pharmacy Program.
2/10/2023 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
1/31/2023 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the medical record request letter and details for 2022 HEDIS/QARR have been posted on our Provider Portal, Provider Access Online (PAO). Please review these materials and send the requested documentation to Fidelis Care as soon as possible.
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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.