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Invitation to Fidelis Care’s October Provider Office Hours
9/26/2024 • Posted by Provider Relations

Office Hours

Fidelis Care will host three Provider Office Hours in October 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.

Provider Office Hours – October 2024

Topic: Back to Basics – Doing Business with Fidelis Care
When:  Thursday, October 10th – 9AM – 10AM EST
Click here to register*

 

Topic: Behavioral Health Overview
When:  Thursday, October 24th – 2PM – 3PM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare Quality Programs
When:  Wednesday, October 30th – 10AM – 11AM EST
Click here to register*

 

*Attendance will be limited to the first 300 registrants for each session.

 


The Back to Basics session will include:

  • Important Updates/Information
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Vendor Information
  • Claims and Billing Information
  • Provider Tools & Resources

 

The Behavioral Health Overview session will include:

  • Provider Tools and Resources
  • Demographic Changes
  • HARP enrollment, H codes, HCBS & CORE
  • Care Management
  • Part 820 OASAS Residential Services Notifications
  • Children’s HCBS
  • Applied Behavioral Health Analysis (ABA)
  • Foster Care
  • Member Recruitment for Stakeholder Meetings
  • Tip Sheets and Resubmission Requirements

 

The Quality session will include:

  • Annual Preventative Visit (APV)/Member Without Visit (MWOV)
  • 2024 Peak Performance Program
  • 2024 Quality Boost Program
  • Medicare Focus- Triple-Weighted Measures
  • RxEffect
  • SuDS

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Provider Partnership Associate. To find your designated representative, please visit Contact Provider Relations on our website.

 

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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.