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.

Announcing Partnership with Healthmap Solutions Effective December 1, 2025

10/3/2025 • Posted by Provider Relations

Fidelis Care is partnering with Healthmap Solutions (Healthmap) to provide care coordination services within our kidney health management (KHM) program.

Update to Concurrent Review Process for Hospitalized Members

9/30/2025 • Posted by Provider Relations

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.

Fidelis Care Authorization Grids Effective November 1, 2025

9/29/2025 • Posted by Provider Relations

The following sections of the Fidelis Care authorization grids have been updated effective November 1, 2025.

9/29/2025 • Posted by Provider Relations

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.

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