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LATEST NEWS


4/28/2025 • Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective June 1, 2025.
4/23/2025 • Posted by Provider Relations
Fidelis Care would like to remind providers of the updated calculation of hospitals’ initial inpatient acute, exempt hospital, and exempt unit reimbursement rates for Medicaid Fee-for-Service (FFS) and Medicaid Managed Care (MMC), which were effective October 1, 2024.
4/21/2025 • Posted by Provider Relations
Fidelis Care would like to notify providers that the MCG Cite Guideline Transparency Tool is scheduled to be upgraded to the 29th edition effective Saturday, April 26, 2025. Providers can access this tool through the Fidelis Care Provider Portal.
4/9/2025 • Posted by Provider Relations
Fidelis Care is pleased to announce that providers will soon have access to correct and resubmit a paid or denied claim, and view and reconcile remittances through their Availity Essentials account.
3/31/2025 • Posted by Provider Relations
Fidelis Care would like to inform providers of updated requirements with the NYS Recipient Restriction Program. The goal of the Recipient Restriction Program (RRP) is to coordinate medical and/or pharmacy services and improve the quality of care for Medicaid recipients.
3/31/2025 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in April 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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