Bienvenidos, Corredores!

We are committed to making it easier for providers to access the information and tools they need to support our members. Based on feedback and ongoing review, we are making several updates to the Provider section of fideliscare.org. These enhancements are designed to simplify navigation, reduce outdated materials, and bring key resources together in one place. Here’s what’s new: Streamlined Authorization Information Authorization content has been consolidated into a single, streamlined web page to reduce confusion and improve clarity. The updated page now clearly separates: Delegated Vendor Authorization Programs Fidelis Care Authorizations Updated Provider News and Bulletins Provider News and Bulletins have been combined to improve visibility

Fidelis Care will host three Provider Office Hours in March 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions. Provider Office Hours – March 2026   Topic: Fidelis Care – Back to Basics When:  Thursday, March 12th – 9AM – 10AM EST Click here to register*   Topic: Fidelis Care and WellCare Quality Programs When:  Wednesday, March 18th – 10:00AM – 11:00AM EST Click

Fidelis Care will host four Provider Office Hours in February 2026. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions. Provider Office Hours – February 2026 Topic: Fidelis Care Tools & Resources Overview When:  Thursday, February 12th – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care and Wellcare Quality Programs When:  Wednesday, February 18th – 10AM – 11AM EST Click here to register*

Fidelis Care is pleased to announce that providers now have access the Availity Clinical Quality Validation (CQV) tool designed to help providers close care gaps quickly and accurately. Through the Availity Essentials portal, CQV streamlines documentation and improves quality scores while reducing administrative burden.   What is CQV? Clinical Quality Validation (CQV) is an Availity Essentials application that helps providers: ·         Monitor targeted care gaps/measures for the measurement year. ·         View and respond to payer requests for clinical/medical data. ·         Improve quality scores and reduce administrative burden.   Benefits ·         Streamlined workflow for care gap closure. ·         Faster access to clinical data. ·         Enhanced provider experience across multiple markets.   Availity-led Training for

Special Supplemental Benefits for the Chronically Ill (SSBCI) can be offered to Medicare Advantage (MA) members who have one or more complex chronic conditions, are at high risk for hospitalization or adverse health outcomes and require intensive care coordination. SSBCI aims to improve overall health outcomes for the chronically ill population by addressing social needs beyond traditional medical care such as food, housing, transportation, and gaps in care. The program is designed to support individuals by offering additional services beyond standard Medicare coverage. Members must qualify for SSBCI benefits Members must meet all three criteria to qualify: The member must require intensive