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Wednesday • Posted by Provider Relations • in Provider News
Fidelis Care would like to remind providers of a postpartum visit incentive being offered through the New York State (NYS) Medicaid program and inform providers of extended claim submission dates.
Monday • Posted by Provider Relations • in Provider News
Fidelis Care is initiating a transition process for providers to identify members who are currently receiving group and family therapy services, and who will continue treatment beyond November 1, 2025, along with current frequency and duration.
10/3/2025 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care is partnering with Healthmap Solutions (Healthmap) to provide care coordination services within our kidney health management (KHM) program.
9/30/2025 • Posted by Provider Relations • in Provider News
Effective November 1, 2025, Fidelis Care will begin outreaching for additional clinical information if a member remains hospitalized beyond seven (7) days. This outreach will initiate a concurrent review to assess medical necessity and support discharge planning activities.
9/29/2025 • Posted by Provider Relations • in Provider News
The following sections of the Fidelis Care authorization grids have been updated effective November 1, 2025.
9/29/2025 • Posted by Provider Relations • in Provider News
Effective October 1, 2025, Ambetter from Fidelis Care will implement a Site of Care Optimization Program to promote cost-effective, high-quality care for members receiving infusion therapies.
9/29/2025 • Posted by Provider Relations • in Provider News, Provider Quality
Timely follow-up care after a mental health discharge is a vital component of recovery. Clinical guidelines recommend that individuals discharged from an emergency department (ED) or inpatient setting receive a follow-up visit within seven (7) days.
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