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Important Insurance Renewal Information for Fidelis Care Members
5/30/2023 • Posted by Provider Relations

As your health plan partner, Fidelis Care would like to share critical information about changes coming soon in Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, and MLTC programs across New York State.

 

Based on the Consolidated Appropriations Act, 2023, enacted on December 29, 2022, the continuous enrollment condition that started during the COVID-19 pandemic is coming to an end, and patients will need to act to stay insured - for the first time in more than three years. 

 

Most patients in Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, or MLTC plans will need to renew their health insurance over the next 12 months, depending on coverage end dates. The first round of renewal reminders will be sent to individuals as early as March 2023 with a coverage end date of June 30, 2023. 

 

Patients will be receiving notifications about their renewal dates and required actions ahead of time - either from NY State of Health, their Local Department of Social Services, or NYC’s Human Resources Administration. It will be very important that your patients pay close attention to all communications and keep their contact information up to date.

 

It is also important your office be aware of when your patients’ coverage is ending and when action is required to stay continuously covered. You can find valuable information in several places, including:

  • Access Fidelis Care’s Provider Portal (Provider Access Online) to check patient details for their renewal, or “recert” date in the roster.
  • Coverage end dates are included in standard EDI eligibility verification transactions and are compatible across platforms and clearinghouses.
  • Visit https://www.fideliscare.org/provider-renew  for educational materials or to request materials in languages specific to your patients’ needs.

 

Fidelis Care also has a dedicated team of staff to assist your patients with renewing their coverage. For assistance with renewal, Fidelis Care members can:

 

As a health care provider, you play a crucial role as a trusted source of reliable information for your patients, and Fidelis Care is here to support you in achieving our shared goal of keeping people covered during this significant industry-wide change.

If you have any questions, please contact your Provider Relations Specialist.

Fidelis Care is proud to be your partner in quality care.

 

 

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Provider Access Online

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

Member Renewal Information

Health insurance will no longer be automatically renewed for Medicaid Managed Care, Essential Plan, Child Health Plus, or HealthierLife members.

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