Provider | Fidelis Care

Welcome, Providers!


LATEST NEWS


Pharmacy Network Change Starting January 1
12/1/2020 • Posted by Fidelis Care

Starting January 1, 2021, Walgreens and Duane Reade will no longer be in the pharmacy network for members of these products:

  • Essential Plan
  • Medicaid Managed Care
  • Child Health Plus
  • HealthierLife (Health and Recovery Plan – HARP)
  • Fidelis Care at Home (Managed Long Term Care – MLTC)

Members can find a list of network pharmacies at caremark.com. (Walgreens and Duane Reade may appear if searching before January 1, but will no longer be listed in our network starting January 1).

Members who have an ongoing prescription at a Walgreens or Duane Reade should call their health care providers to get a new prescription for a different pharmacy.

If you have any questions, please call the CVS Caremark® Customer Care Team at 1-855-465-0029.

 

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.