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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.

 

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LATEST NEWS


Children’s Health Program (CHP) UM Timeframe Update
11/29/2022 • Posted by Provider Relations

On 11/4/22, Fidelis Care received notice from the Department of Health (DOH) that the utilization management for the CHP line of business should mirror the Medicaid line of business. In compliance with the DOH notice, effective 12/1/22, providers will have 14 calendar days from the date of the request to submit supporting clinical documentation to Fidelis Care. If there is no response or a continued lack of necessary information, Fidelis Care will make a determination based on the information that is available.


Provider Bulletin Archives

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

Provider Access Online

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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.

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