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LATEST NEWS


12/14/2023 • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
12/12/2023 • Posted by Provider Relations
Effective December 1, 2023, NYS is implementing a billing change that will allow claims for Children’s Home and Community Based Services (HCBS) and Children and Family Treatment Support Services (CFTSS) to be paid based on the county in which services were provided, rather than a provider’s corporate headquarters or central office address.
12/12/2023 • Posted by Provider Relations
Fidelis Care is requesting our providers’ assistance in identifying potential HealthierLife (Health and Recovery Plan - HARP) members to participate in our Quarterly Regional Stakeholder Subcommittee meetings in 2024.
12/7/2023 • Posted by Provider Relations
Provider Access Online, Fidelis Care’s secure Provider Portal, gives your office access to many powerful tools. To learn more about the functionality available to you, please read below. Provider can also visit our Provider Access Online Resource page for additional information and instructional videos.
12/6/2023 • Posted by Provider Relations
New York State Health Commissioner Dr. James McDonald has issued a statewide non-patient-specific standing order for pharmacists in New York State to administer the respiratory syncytial virus (RSV) vaccination to individuals ages 60 and older and to pregnant individuals.
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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.

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.