Provider | Fidelis Care

Welcome, Providers!


LATEST NEWS


Update Regarding Pharmacy Benefit Change for Medicaid and HARP Members
4/9/2021 • Posted by Provider Relations

Providers, please be aware that your Medicaid and HARP patients recently received a letter from Fidelis Care informing them that their pharmacy benefit was going to change from CVS Caremark to fee-for-service Medicaid effective May 1. However, as part of the recently approved New York State budget, no changes will be made to the pharmacy benefit. Your patients will continue to use their Fidelis Care ID card to access their pharmacy benefit, and no action is needed from you or your patients.

Fidelis Care is proud to be your health care partner, and thank you for your assistance on this important update.

 

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.