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UPDATE: Fidelis Care Authorization Grids Effective May 1, 2022
5/10/2022 • Posted by Provider Relations

The following sections of the Fidelis Care authorization grids have been updated effective May 1, 2022.

 

The Medicaid, Essential Plan, Medicare, & Metal Level Plan grids have been updated as follows:

 

Durable Medical Equipment/Supplies:

        Supplies requiring authorization:

         - Electric breast pumps (codes E0602 and E0603) have been removed and no longer require authorization.

 

Visit:  Authorization Grids

 

COVID-19 UPDATE: Please refer to this link:  Important Updates Regarding Coronavirus COVID-19, for authorization and coding guidelines related to the COVID-19 Pandemic.

 

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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.