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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


Last Week • Posted by Provider Relations • in Provider News, Provider Quality
Join us for a focused overview of the CoC+ program and how it supports coordinated, patient-centered care. What we will cover: CoC+ program overview and key components Quality, high utilization, risk and actionable insights How to use Centene Clinical Action (CCA) /CoC+ (Agenda submissions) Ways to support documentation and continuity of care Who Should Attend: This session is intended for provider office staff involved in patient care coordination and performance improvement, including: Providers / Clinicians Care coordinators and care management staff Billing and coding specialists Office managers or administrators  Teams using CCA/CoC+ We appreciate your partnership and look forward to helping you get the
5/28/2026 • Posted by Provider Relations • in Provider News, Provider Quality
As a reminder, 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 Providers: A live webinar, Centene
5/19/2026 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care will host four Provider Office Hours in June 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 – June 2026   Topic: Timely Access to Care – Access and Availability Standards When:  Thursday, June 11th – 2 PM – 3 PM EST Click here to register*   Topic: Fidelis Care and Wellcare - Quality Programs When:  Wednesday, June 17th – 10
4/22/2026 • Posted by Provider Relations • in Provider News, Provider Quality
At Fidelis Care, provider feedback is essential to how we improve our programs, processes, and overall experience working with our network. To support more frequent and meaningful collaboration, we’re excited to introduce the Provider Advisory Community—a new online forum designed specifically for providers. What Is the Provider Advisory Community? The Provider Advisory Community is a private, online space where participating providers can share insights and perspectives on topics such as: Administrative and clinical challenges Digital tools and resources Opportunities for improvement The overall experience working with Fidelis Care Participants will also get an early look at upcoming initiatives and updates, allowing Fidelis Care
4/21/2026 • Posted by Provider Relations • in Provider News, Provider Quality
To help vulnerable individuals who struggle with extreme heat, NY State of Health is again offering free air conditioners through its Essential Plan Cooling Program. The program runs from April 15, 2026, to August 31, 2026, or until supplies run out. During the summer, patients living in excessive heat have a higher risk of death and hospitalization from chronic conditions. By having A/C units installed in their homes, the program can improve health outcomes and prevent emergency visits and hospitalizations. Please notify your patients currently enrolled in the Essential Plan that they may be eligible if they have one of these health conditions:
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