Fidelis Care Career Events

Fidelis Care will host three Provider Office Hours in May 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.

Due to regulatory requirements defined in Article 44 of the New York State Public Health Law for all Managed Care Organizations (MCO), Fidelis Care is implementing changes to our Utilization Management/Authorization Appeals process. Effective June 1, 2025, Fidelis Care will require providers to adhere

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

Fidelis Care would like to remind providers of the updated calculation of hospitals’ initial inpatient acute, exempt hospital, and exempt unit reimbursement rates for Medicaid Fee-for-Service (FFS) and Medicaid Managed Care (MMC), which were effective October 1, 2024.

Fidelis Care would like to notify providers that the MCG Cite Guideline Transparency Tool is scheduled to be upgraded to the 29th edition effective Saturday, April 26, 2025. Providers can access this tool through the Fidelis Care Provider Portal.

Annual cultural competency training for participating providers is required by the New York State Department of Health.

Effective May 1, 2025, the provision of School-Based Health Center (SBHC) and SBHC-Dental (SBHC-D) services will be incorporated into the Mainstream Medicaid Managed Care (MMC) and HIV Special Needs Plan (HIV SNP) benefit package.