Welcome, Providers!



5/4/2023 • Posted by Provider Relations
Due to the FDA withdrawing approval of Makena and its generics on April 6, 2023, Fidelis will no longer be covering Makena or its generics beginning April 7, 2023, unless otherwise noted.  
5/1/2023 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective June 1, 2023.
4/28/2023 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2023 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal).
4/28/2023 • Posted by Provider Relations
As your health plan partner, Fidelis Care would like to share critical information about changes coming soon in Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, and MLTC programs across New York State.
4/26/2023 • Posted by Provider Relations
On behalf of National Imaging Associates (NIA)*, Fidelis Care would like to extend an invitation to our providers to participate in an educational webinar regarding recent RadMD enhancements.
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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.