Provider | Fidelis Care

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LATEST NEWS


1/5/2024 • Posted by Provider Relations
As your health plan partner, Fidelis Care would like to share important updates about the public health emergency unwind and the renewal performance experienced since July 2023 in Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, and MLTC programs across New York State.
1/2/2024 • Posted by Provider Relations
As you know, Fidelis Care relies upon the receipt of membership information from the New York State Department of Health (SDOH) prior to issuing capitation payments.
12/28/2023 • Posted by Provider Relations
Fidelis Care is pleased to inform you that the most recent 2023 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 11/14/2023.
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.
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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.