Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!

Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.

 

Latest Provider Bulletin

 


Provider Bulletin Archives ➔


2025-Provider-Bulletin-Fall_image


LATEST NEWS


COVID-19 “At Home” Test Kits for Medicaid Patients
12/22/2021 • Posted by Provider Relations

Effective December 13, 2021, Fidelis Care will cover COVID-19 “at home” tests with no member cost sharing.

Coverage will be provided for Over-the-Counter (OTC) FDA-authorized COVID-19 test kits that are used in accordance with the Centers for Disease Control and Prevention (CDC) recommendations, for antigen detection. This policy applies to both Medicaid fee for service (FFS) and Medicaid Managed Care (MMC).

To qualify, the following criteria must be met:

  • Covered “at home” test kits must be authorized by the FDA for use in both symptomatic and asymptomatic patients and allow for self-collection without medical observation.
  • A fiscal order by a Medicaid-enrolled practitioner for OTC tests (which includes all the same information contained on a prescription) is required.
  • One test kit per fiscal order (each kit may contain two tests for serial testing), with no refills, can be ordered with a limit of one test kit per week.

If you have any questions, please call Fidelis Care Provider Relations at 1-888-FIDELIS (1-888-343-3547); TTY: 711.


Provider Bulletin Archives

Assisting providers in staying abreast of the latest trends, policies, and studies.

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Social Care Network

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission.