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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 Authorization Treatment/Service Request Forms – MLTC (Managed Long Term Care)
1/9/2020 • Posted by Provider Relations

Fidelis Care has created two new authorization treatment/service request forms (Audiology and Podiatry) for our members enrolled in our managed long term care product, Fidelis Care at Home.  In addition, updates have been made to the existing Durable Medical Equipment (DME) form.

These forms can be found on our website fideliscare.org by accessing Providers > Manuals and Forms > Forms and Applications > in a new section titled:
Treatment/Service Request Forms – MLTC (Managed Long Term Care)

Durable Medical Equipment Request Form
Hearing Aid Services and Products Request Form
Podiatry Services Request Form

Completed authorization treatment/service request forms must be faxed to fax number:  (716) 803-8727.

If you have any questions, please contact the Fidelis Care Provider Call Center at (888) 343-3547.


Provider Bulletin Archives

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Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Social Care Network

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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