Provider | Fidelis Care

Welcome, Providers!


LATEST NEWS


Medicaid Optimizing Children’s Health 0-36 Months and Development to Improve Long-Term Outcomes
11/18/2019 • Posted by Provider Relations

In January 2019, Fidelis Care initiated the Medicaid KIDS Performance Improvement Project (PIP): Optimizing Children’s Health and Development to Improve Long-Term Outcomes. The aim of this PIP is to improve children’s health by increasing lead, hearing, and developmental screenings with appropriate follow-up by the time the child reaches 3 years of age. The project will run through December 2020.

We have posted an educational tip sheet Important Guidelines for Infants and Toddlers that lists the guidelines as per the New York State Department of Health (SDOH), American Academy of Pediatrics, and the Centers for Disease Control and Prevention on:

  • Immunization schedules
  • Lead testing, follow-up, and retesting
  • Primary care visits
  • Hearing examination and follow-up
  • Developmental screening and contact information for early intervention programs

The SDOH has posted revised documentation on “Guidelines for the Health Care Providers for the Prevention, Identification and Management of Lead Exposure in Children” and additional resource materials.  Please reference the resource links below:

https://www.health.ny.gov/environmental/lead/docs/commissioner_letter_guidance_aug2019.pdf
https://www.health.ny.gov/publications/6671.pdf
https://www.health.ny.gov/publications/2526.pdf
www.health.ny.gov/publications/2524.pdf
https://www.health.ny.gov/publications/6670.pdf

 

Smiles-that-Shine

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.