Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


Notice: COVID-19 Public Health Emergency Expires on May 11, 2023
4/17/2023 • Posted by Provider Relations

The Federal Government has announced that the Public Health Emergency (PHE) due to COVID-19, will expire on May 11, 2023. Once the PHE ends, the pre-PHE minimum billing standards and documentation requirements will be fully reinstated.

Beginning May 12, 2023, providers will be required to resume appropriate service provisions for billing purposes and documentation activities.  In addition, PHE related cost share and prior authorization waivers will no longer be in effect.

Fidelis Care is working diligently to ensure the necessary changes are in place to restore our policies and procedures to pre-PHE status. 

If you have any questions or concerns, please contact your Provider Relations Specialist.  If you need to find your designated Specialist please visit: Contact Your Designated Provider Relations Specialist.

 

Additional Resources:

Public Health Emergency to End May 11 – AHA Outlines Implications for Hospitals and Other Providers

CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency

Fact Sheet: COVID-19 Public Health Emergency Transition Roadmap

Guidance Regarding Use of Telehealth after COVID-19 Public Health Emergency

Impact of the end of the Federal Public Health Emergency (PHE) on the OMH System 

Public Health Emergency (PHE) Unwind Clarification for Health Homes and Children's Waiver Services

 

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.