Career Events

The following sections of the Fidelis Care authorization grids have been updated effective October 1, 2023. The Medicaid, Medicare, Essential Plan and Metal-Level grids have been updated as follows:     E. OASAS Licensed Inpatient Substance Use Disorder Treatment:                  The facility may fax or email the OASAS Appendix A Notification Form and OASAS LOCADTR Medical Necessity Tool to 833-663-1608 (formerly 646-829-1421) or LOCADTR@fideliscare.org.                          H. OMH Licensed Inpatient Mental Health Treatment                              The facility is required to notify the insurer within 2 business days of admission by calling 1-888-FIDELIS (1-888-343-3547), extension 16072 for Behavioral Health or by fax 833-561-0094 (formerly

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 7/18/2023.  Please refer to the most recent "Non-Compliance Report" instruction letter to understand the information being provided on each tab of the Excel Spreadsheet.  Please notify any staff involved with quality management and advise that these documents have been posted. If you have any questions, please call the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

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. Articles in this issue: Provider Access Online Enhancements Online Provider Representative Directory Claims Process Improvements Risk Adjustment Activities Appeals Process Updates Provider Office Hours Please download Fidelis Care Provider Bulletin – Volume 9, Issue 3. To view our Provider Bulletin Library, please visit: Provider Bulletins.

The Fidelis Care Pharmacy Team is requesting your feedback!   In an effort to identify opportunities for improvement, we are asking all providers to participate in a short survey.  Please click on the link below to share your feedback. Pharmacy Services Provider Survey  Thank you in advance for your participation!

Earlier this year, the Biden Administration announced that the federal Public Health Emergency (PHE) related to the COVID-19 pandemic ended on May 11, 2023. During the PHE, we followed guidance from the Centers for Medicaid & Medicare Services (CMS) and instituted temporary waivers for select services. This action ensured that critical care could be quickly delivered to our members during a time of heightened need. Beginning May 12, 2023, these temporary waivers expired, and our members’ Medicare plan benefits are reinstated for the following services:   Service

Fidelis Care would like to inform our providers of new fax numbers being used throughout the organization.  Please begin using the fax numbers listed below immediately. Please note: Fidelis Care is currently in the process of updating all determination letters and other written correspondence to reflect the new fax numbers.  While both fax numbers will work for a short time, we encourage all providers to begin using the fax numbers below, regardless of the fax number listed on the letter/correspondence.   Department Previous Fax Number

Fidelis Care would like to notify our providers that Babylon Health’s telehealth services are no longer available as of August 7, 2023. Due to this change, you may receive new requests for both virtual and in-person services from Fidelis Care members. As always, please verify each member's eligibility, benefits, and referral requirements before rendering care.   We value your continued partnership with Fidelis Care. If you have any questions, please contact your Fidelis Care Provider Relations Specialist.  To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.