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Fidelis Care Provider Bulletin - Volume 5, Number 2
7/19/2019 • 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. 

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 

 

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Member Renewal Information

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Authorization Resources

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Electronic Transactions

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Utilization Management (UM)

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