Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!


LATEST NEWS


12/28/2023 • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2024.
12/28/2023 • Posted by Provider Relations
Fidelis Care would like to remind providers that COVID-19 vaccinations for children under the age of 19 covered under Child Health Plus and Medicaid Managed Care are available through the federal Vaccine for Children (VFC) program.
12/28/2023 • Posted by Provider Relations
Fidelis Care has partnered with MCG Health to implement the MCG Cite Guideline Transparency Tool. Effective January 1, 2024, you can access this feature through the Fidelis Care Provider Portal.
12/15/2023 • Posted by Provider Relations
Fidelis Care is aware that a small number of Essential Plan members may have received incorrect ID cards with January 1, 2024 effective dates.
12/14/2023 • Posted by Provider Relations
Fidelis Care will host two unique Provider Office Hours in January 2024. During the interactive Zoom sessions, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
Newer Articles
Older Articles


 

Smiles-that-Shine

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.

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.