Pharmacy Prior Authorization Process Effective June 1, 2020
WellCare New York members enrolled in Medicaid, Child Health Plus, and Essential Plans products* will transition to and become Fidelis Care members effective June 1, 2020. These members will be issued a Fidelis Care member identification card; therefore, the transition may be transparent.
Pharmacy Prior Authorizations requests for these plans and transitioned members should be faxed to 1-877-533-2405, which is our same Medicaid fax number. Please use the existing Medicaid fax authorization form found here: NYS Medicaid Prior Authorization Request Form For Prescriptions
*Note: WellCare New York members enrolled in a Managed Long Term Care product are transitioning to Fidelis Care as well effective June 1, 2020; however, they will not be affected by the above pharmacy authorization process.