Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Attention Oncology Providers: Fidelis Care Partners with New Century Health for New York Medicaid, Medicare, Essential Plan, and Qualified Health Plan Members
4/28/2022 • Posted by Provider Relations

Fidelis Care and Wellcare By Fidelis Care have partnered with New Century Health (NCH) to implement a new oncology prior authorization program, Oncology Pathway Solutions. The program is intended to help providers easily and effectively deliver quality patient care.

Effective July 1, 2022 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 Medicare, Medicaid Managed Care, Essential Plan, and Qualified Health Plan members of all ages.

Visit our Frequently Asked Questions for additional information on this partnership with NCH.

If you have any additional questions, please contact our Provider Call Center at 1-888-FIDELIS (1-888-343-3547) or your local Provider Relations Specialist.

 

Smiles-that-Shine

Provider Access Online

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

Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will 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. 

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.