Miembros
Proveedor
Adquiera un plan

Bienvenidos, Corredores!

Fidelis Care atiende a más de 1,7 millones de niños y adultos de todas las edades, lo que nos convierte en uno de los planes de seguro médico más grandes del estado de Nueva York. Nos fundamos con la creencia de que todos los neoyorquinos deberían tener acceso a un seguro de salud asequible y de calidad, y nuestra misión de ayudar a los demás informa todo lo que hacemos. 

Últimas Noticias


5/16/2025 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care will host three Provider Office Hours in June 2025. 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 – June 2025   Topic: Behavioral Health Overview When:  Thursday, June 12th – 11 AM – 12 PM EST Click here to register*   Topic: Fidelis Care and Wellcare - Quality Programs When:  Wednesday, June 25th – 10 AM – 11 AM EST
5/16/2025 • Posted by Provider Relations • in Provider News
The following codes on the Evolent/Fidelis Care authorization grid have been updated effective June 1, 2025. The following codes have been removed from the Evolent Radiology Cardiology Utilization Review Matrix and no longer require prior authorization for Wellcare by Fidelis Care, Medicaid, Essential Plans, and Ambetter Metal-Level Products: Transthoracic Echocardiogram - 93307, 93303, 93304, 93306, 93307, 93308, 93320, 93321, 93325, 93356 Chest CT - 71250, 71260, 71270, 0722T CT for Low Dose Lung Cancer Screening - 71271   Visit:  Authorization Requests
5/14/2025 • Posted by Provider Relations • in Provider News, Provider Quality
Diabetes is the leading cause of chronic kidney disease affecting almost one in three people. Clinical guidelines recommend that all people with diabetes have routine tests to detect kidney disease. However, less than half get the needed tests.  Kidney disease does not show symptoms until later stages of the disease, and this makes early detection the key to managing the disease appropriately. The Kidney Health Evaluation (KED) assesses both kidney function with an estimated glomerular filtration rate (eGFR) and kidney damage with a urine albumin-creatinine (uACR) to develop an appropriate treatment plan. What do you need to do? Order both an estimated glomerular filtration rate
5/14/2025 • Posted by Provider Relations • in Provider News
Earlier this month Fidelis Care notified providers that, pursuant to the regulatory requirements defined in Article 44 of the New York State Public Health Law for all Managed Care Organizations, it was implementing a change to its appeals process by requiring the submission of written member consent.  The change was scheduled to become effective on June 1, 2025.    NYSDOH has informed Fidelis that it is currently reviewing the policy and advised Fidelis Care to postpone its implementation.  Therefore, Fidelis Care is rescinding the implementation of the policy until further notice and will provide an update when more information is available.   For additional
5/14/2025 • Posted by Provider Relations • in Provider News, Provider Quality
Wellcare and Conversio Health have partnered together to bring providers a comprehensive COPD condition management program to support managing high-risk patients with chronic respiratory conditions—target patient population includes members with a history of ED visits or hospitalizations. Conversio Health services are available to Wellcare by Fidelis Care and Wellcare members. Conversio Health’s expert team of clinical pharmacists, respiratory therapists, and health coaches are focused on giving providers and patients the best quality of service available to help them breathe better.  These services are at no cost to patients and, include: COPD medication therapy optimization Improvement of medication adherence Providing medication affordability,
Newer Articles
Older Articles


Broker Resources

Access forms, manuals, and other important documents and guides for Fidelis Care members. 

My Advocate

Help Fidelis Care members find and apply for money-saving programs. 

Transferencia Electrónica

Reciba cheques de comisiones a través de Transferencia Electrónica de Fondos.

Encuentre a un médico

Busque a un profesional, un servicio o un centro médicos en la red de Fidelis Care.

¡Visítenos!

¿Tiene preguntas sobre su cobertura médica? Encuentre una oficina comunitaria de Fidelis Care cerca de usted.