Welcome, Providers!


11/20/2023 • 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.
11/20/2023 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
11/17/2023 • Posted by Provider Relations
Due to an overwhelming response in October, Fidelis Care will host another Provider Office Hours on November 30th.
11/9/2023 • Posted by Provider Relations
Fidelis Care would like to remind our providers of new fax numbers being used throughout the organization. Please begin using the fax numbers listed below immediately.
11/9/2023 • Posted by Provider Relations
Fidelis Care would like to inform providers of a new CMS requirement regarding member notification when a provider leaves the health plan’s network.
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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.

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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.