Attention Oncology Providers: Fidelis Care Partners with New Century Health for New York Medicaid, Essential Plan, and Qualified Health Plan Members (UPDATED)
1/8/2021
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Posted by Provider Relations
On September 1, 2020, Fidelis Care formally announced their partnership with New Century Health (NCH) to provide you with a new streamlined approach to the oncology prior authorization process. This process, known as “Oncology Pathway Solutions,” is uniquely designed to help providers deliver quality patient care with minimal administrative effort.
As of November 2, *ALL oncology related chemotherapeutic medications and supportive agents will require prior authorization from NCH before dispensing at a pharmacy or administered in a physician’s office, outpatient hospital, or ambulatory setting.
*This requirement applies for Medicaid Managed Care, Essential Plan, and Qualified Health Plan members, ages 18 and older only. For the list of drugs that require NCH review, please check the website at: https://www.fideliscare.org/Provider/Provider-Resources/Pharmacy-Services. The documents may also be found here.
ACTION NEEDED:
To obtain authorizations for these members, it is important that you register on New Century Health’s web portal by going to my.newcenturyhealth.com
Online portal benefits include:
- Ability to obtain real-time approvals when selecting evidence-based NCH treatment care pathways
- Guided instructions indicate clinical documentation needed for medical necessity review, (if your request does not auto approve), of which you may electronically upload and submit
- View all submitted requests for authorizations in a central location
- Track your authorization requests in real time
Upon registering, portal login credentials will be emailed to you up to two days prior to November 2.
For more information or any questions, please contact:
Claudia Prinstein-Hasbun
chasbun@newcenturyhealth.com
954-540-4497
Ann Massey
amassey@newcenturyhealth.com
262-720-2954
Original Notice:
Fidelis Care is pleased to announce we have partnered with New Century Health (NCH) to implement a new oncology prior authorization program, Oncology Pathway Solutions. The program will make it easier for providers to effectively deliver quality patient care.
Effective November 2, all oncology-related chemotherapeutic medications and supportive agents will require prior authorization from NCH before being dispensed at a pharmacy or administered in a physician’s office, outpatient hospital, or ambulatory setting. This requirement applies for Medicaid Managed Care, Essential Plan, and Qualified Health Plan members, ages 18 and older.
Prior authorization can be requested by:
· Visiting NCH’s Web portal at my.newcenturyhealth.com, or
· Calling 1-888-999-7713, option 1 (Monday-Friday, 8AM-8PM)
NCH uses clinical criteria based on nationally recognized guidelines to promote evidence-based cancer care.When using the Web portal, you can obtain real-time approvals when selecting evidence-based NCH treatment care pathways. You will also be able to determine which clinical documentation is needed for medical necessity review, and view all submitted requests in one location. You may also request to speak with an oncologist to discuss treatment options.
Fidelis Care is proud to be your health care partner. An NCH representative will contact you soon to schedule an introductory meeting and training. Portal login credentials will be securely emailed to you after your meeting and before November 2. If you have any questions beforehand, you may call NCH at 1-888-999-7713, Option 6. You may also call us at 1-888-FIDELIS (1-888-343-3547; TTY: 711) or visit our frequently asked questions. We are here to help.