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LATEST NEWS


Fidelis Care Pharmacy Benefits and Authorizations
6/2/2025 • Posted by Provider Relations
Fidelis Care’s Pharmacy Services would like to provide clarification on how medications are covered under member’s medical and pharmacy benefits.
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Fidelis Care Provider Bulletin - Volume 11, Issue 2 – Spring 2025
6/2/2025 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
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Children and Family Treatment and Support Services (CFTSS) Utilization Review Process Effective July 1, 2025
5/30/2025 • Posted by Provider Relations
Fidelis Care would like to notify our providers of an update to our Children and Family Treatment and Support Services (CFTSS) Utilization Review Process.
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Fidelis Care Authorization Grids Effective July 1, 2025
5/29/2025 • Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective July 1, 2025.
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Annual Medicare Special Needs Program (SNP) Model of Care (MOC) Provider Training
5/19/2025 • Posted by Provider Relations
The Centers for Medicare and Medicaid Services (CMS) requires that providers receive Medicare Special Needs Program (SNP) Model of Care (MOC) Training annually.
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Invitation to Fidelis Care’s June Provider Office Hours
5/16/2025 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in June 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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Provider Access Online

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

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Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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Join Our Network

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

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

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Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.

UM Resources