El blog de Fidelis Care

Fidelis Care would like to remind providers that Urgent and Concurrent Authorization Requests cannot be submitted through the Provider Portal, as this will cause delays in processing.   To expedite the processing of Urgent, providers should submit requests through: Availity Essentials, or Fax Urgent requests directly to: (800) 860-8720, and label the request as “Urgent”   Urgent Concurrent Authorization Requests and Concurrent Authorization Requests should be submitted by: Faxing requests directly to: (800) 860-8720, and labeling the request as “Concurrent”   To register for an Availity Essentials account, visit Register and Get Started with Availity Essentials.   For additional questions, or if we can be of assistance in any

Fidelis Care received notice from New York State Office of Addiction Services and Support (OASAS), that providers are required to bill OTP bundle services under the APG methodology effective November 3, 2025. This applies to Medicaid Managed Care (MMC) plans, including Mainstream MMC plans, HIV Special Needs Plans (HIV SNPs), and Health and Recovery Plans (HARPs). Initiative Timeline: Beginning July 1, 2024, providers were given the option to bill OTP bundle services either under the existing OTP bundle rate codes or the APG methodology.  The May memorandum also indicated that OASAS would zero out the bundle rate codes (7969-7976) after a

You asked and we listened!  Fidelis Care is pleased to announce that Health Savings Unit (HSU) Recovery letters are now available on Provider Access Online, Fidelis Care’s Provider Portal, in the File Download section.  To access the HSU letters: Use the menu on the left of the Provider Access Online home page to navigate to the File Downloads section. On the File Download page, providers can search by File Type and File Created date range. Click on the letter you would like to download.  HSU letters will include only the provider’s name and provider identification number. To dispute an HSU retraction, providers

El Mes de la salud del hombre, que se celebra en junio, es un momento excelente para recordar a los hombres de nuestra vida que deben centrarse en su bienestar. Es importante que los hombres tengan un proveedor de atención primaria y se hagan un chequeo por año, aunque se sientan bien. Muchos hombres no acuden al médico a menos que realmente lo necesiten. Suelen decir que se sienten bien, que están demasiado ocupados o que lo harán “algún día”.

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: ·         Don't Forget to Use the Authorization Look Up Tool ·         Notify Fidelis Care of Any Changes to Your Practice ·         Access and Availability Standards ·         Annual Wellness Visits and Follow-Up Patient Reminders ·         Importance of Submitting Medical Records ·         Support Your Patients in Managing Diabetes Please download Fidelis Care Provider Bulletin – Volume 11, Issue 2.   To view our Provider Bulletin Library, please visit: Provider Bulletins.