Fidelis Care Authorization Grids Effective February 1, 2021
Please refer to this link: Important Updates Regarding Coronavirus COVID-19, for authorization and coding guidelines related to the COVID-19 Pandemic.
The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2021
Authorization for podiatric services has been amended on the Medicaid, Essential Plan, and Metal Level Plan authorization grids in Outpatient and DME Services as follows:
G. Podiatry Services
Authorization is no longer required for podiatric services however, authorization requirements will apply to individual services that are indicated on this grid and rendered by podiatrists.
The following services apply to Medicaid, Essential Plan, and Metal Level Plans and require prior authorization:
S0013 esketamine nasal spray
Visit: Authorization Grids