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Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.
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.
Articles included are: • Medicaid Medical Record Retrieval: o SDOH requires complete diagnostic data for Medicaid Managed Care members. Questions to Ciox Health at chartreview@cioxhealth.com, or at 1-877-455-9293… • Committees Seek Provider Participants: o Increased provider participation is needed on Fidelis Care’s Clinical Advisory Committee and Credentials Committee… • Family Planning Coverage: o As of January 1, 2019, family planning and reproductive health services are administered directly by Fidelis Care… • Cancer Screening Guidelines: o U.S. Preventive Services Task Force recommended guidelines for key screenings for: breast, cervical, colorectal and lung cancer… • Communicable Diseases: o NYS Sanitary Code requires providers to report confirmed or suspected cases of communicable diseases… • Maternal and Child Care: o A dual-language English and Spanish Developmental Monitoring and Screening guide is available at: cdc.gov/ncbddd/ actearly/pdf/parents_pdfs/DevelopmentalScreening.pdf … • Monitoring and Controlling Blood Pressure: o The Controlling High Blood Pressure (CBP) Tip Sheet is available at: Controlling High Blood Pressure (CBP) ... • Provider Demographic Information: o Provider demographic changes must be requested 30 days in advance of any changes to ensure efficient and timely processing of claims… Please download Fidelis Care Provider Bulletin – Volume 5, Number 2 To view our Provider Bulletin Library on this site, please visit: Provider Bulletins
Assisting providers in staying abreast of the latest trends, policies, and studies.
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Volume 10, Issue 1
Volume 10, Issue 2
Volume 10, Issue 3
Volume 10, Issue 4
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To submit prior authorization request types, use the Fidelis Care provider portal.
Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.
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