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Invitation to Fidelis Care’s June Provider Office Hours
5/16/2025 • Posted by Provider Relations

Office hours

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.

Provider Office Hours – June 2025

 

Topic: Behavioral Health Overview
When:  Thursday, June 12th – 11 AM – 12 PM EST
Click here to register*

 

Topic: Fidelis Care and Wellcare - Quality Programs
When:  Wednesday, June 25th – 10 AM – 11 AM EST
Click here to register*

 

Topic: Managed Long-Term Care Overview
When:  Thursday, June 26th – 2 PM – 3 PM EST
Click here to register*

 

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

 

The Behavioral Health session will include:

  • Introductions of Fidelis Team Members
  • Provider Tools & Resources
  • Demographic Changes
  • Behavioral Health Access Regulations
  • Two Midnight Rule
  • Inpatient Discharge Notification Process
  • Restricted Recipient Program
  • 820 Services
  • TMS
  • Tip Sheets & Resubmission Requirements
  • External Resources

 

The Quality Office Hours session will include:

  • Importance of Directory Information
  • Quality Provider Web Page
  • Drive Quality Improvement – Focus on “Big 3”
  • Glidepath for APV & Patients Without Visits
  • Priority Measure Opportunities: COL, BCS, HbA1c, CBP
  • KED Focus: Best Practices & Coding Corrections
  • 2025 CoC Appointment Agenda Program: CoC+ Bonus Extended
  • RxEffect: 2025 Appointment Agendas Loaded
  • Remediation of Held Appointment Agendas
  • SuDS Onboarding Timeline & Submission

 

The Managed Long-Term Care (MLTC) Overview session will include:

  • Introductions to the Provider Relations Team
  • Social Adult Day Care (SADC) Overview
  • Home Health Care Services
  • Fiscal Intermediary – PPL Review
  • Provider Tip Sheets
  • Provider Tools & Resources

 

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 click the links above.

 

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Provider Access Online

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

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.

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.