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Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.

 

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LATEST NEWS


New Performance Improvement Project (PIP) to Help Prevent Behavioral Health Readmissions
11/21/2019 • Posted by Provider Relations

Fidelis Care wants our members to lead healthy lives in their communities. A new performance improvement project (PIP) has been created for our HealthierLife (Health and Recovery Plan – HARP) members who experience frequent hospital admissions and emergency room visits for a behavioral health issue. The goal of this PIP is to prevent readmissions.

The key to preventing readmissions is closer collaboration among Fidelis Care, patients, inpatient and outpatient providers, and the patient’s support network. Fidelis Care has assigned Care Managers to each of the identified patients to help coordinate efforts.

Many hospitalizations and ER visits for behavioral health care are caused by a substance use disorder (SUD).  When treating a SUD, counseling and behavioral therapy become more successful when paired with medications.  This approach, known as “medication-assisted treatment (MAT)”, is designed to meet a patient’s mental and physical needs. 

MAT medications include:

      *Quantity limits apply

Fidelis Care is here to help you provide the best possible care to your patients.  By working together, we can help patients stay happier and healthier in their communities.  For help, please call 1-888-FIDELIS (1-888-343-3547), 8:30 AM – 5 PM, Monday – Friday.

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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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