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Fidelis Care has made changes to our Medicaid Managed Care/HealthierLife (HARP) and Child Health Plus (CHP) Formularies and Qualified Health Plans (Metal Level Products) and Essential Plan (EP) Formularies. Some of the changes relate to quantity limitations, authorization requirements, as well as drugs being removed and added to the formulary.
Please refer to the Medicaid Managed Care/HealthierLife (HARP) OTC Removals, updated in accordance with the New York State Department of Health requirements, and the Medicaid Managed Care/HealthierLife (HARP)/Child Health Plus (CHP) OTC Additions.
Verify member eligibility or renewal status, check claims, send e-scripts, and more.
Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.
Apply to our network and become a part of the Fidelis Care mission.
Access the Provider Attestation Statement and submit completion of training.
To submit prior authorization request types, use the Fidelis Care provider portal.
Submit claims electronically for faster processing and reimbursement.
Find information and links to external vendor authorizations and to internal resources.