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Friday • Posted by Provider Relations
Beginning August 15, 2022, all Fidelis Care providers inquiring about a patient’s eligibility and benefits will need to use either the Patient Search tool on Fidelis Care’s Provider Portal, Provider Access Online, or the Automated Eligibility system on our Interactive Voice Response (IVR) at 1-888-FIDELIS (1-888-343-3547).   Eligibility and benefits information will no longer be available by contacting the Call Center.   To help ease this transition, Fidelis Care recommends your office staff review our new video tutorial on using the Patient Search tool at fideliscare.org/PAO. Please remember your staff members need Patient Information Viewer access to perform a Patient Search on Provider Access
Wednesday • Posted by Provider Relations
As stated in the April 2022 Medicaid Update article titled Medicaid Enrollment Requirements and Compliance Deadlines for Managed Care Providers, all Fidelis Care Medicaid Managed Care (MMC) network furnishing, ordering, prescribing, referring and attending (OPRA) providers must be enrolled with New York State (NYS) Medicaid program by August 31, 2022.  Providers servicing MMC members should, without delay, begin the enrollment process and complete all required forms, including certifications.  Effective September 1, 2022, Fidelis Care will deny payment to unenrolled pharmacies, other unenrolled practitioners, and providers for services provided and/or prescribed. Criteria for NYS Medicaid Enrollment The enrollment requirement is applicable only to enrollable provider types including pharmacies
Wednesday • Posted by Provider Relations
Fidelis Care is in the process of updating our claims systems to reflect the new codes associated with monkeypox testing and vaccine administration.  Please see the guidance below regarding cost-share waivers and billing codes associated with monkeypox for Medicaid, Child Health Plus (CHP), and Essential Plan (EP) programs.   Cost-Share Waivers (Medicaid, CHP, and EP) - Effective July 26, 2022: Office visits, including telehealth, for the testing and diagnosis of monkeypox Administration of vaccines for exposure to or prevention of monkeypox   Diagnosis Codes B04                 Monkeypox B09                 Unspecified viral infection characterized by skin and mucous membrane lesions Laboratory Test Code 87593             Infectious agent detection by nucleic acid
Wednesday • Posted by Provider Relations
Fluoride varnish is a safe dental treatment that helps prevent or slow down tooth decay in young children. Fluoride varnish can be applied by a medical or dental provider. Information for improving the oral health of young children is available on the New York State Department of Health website.  Consider applying fluoride varnish in your office, or you can refer your patient to a DentaQuest dental provider. You can also help your patients by reminding parents that regular visits to the dentist are essential for keeping teeth and gums healthy. Additional information, including how to find a DentaQuest dental provider, can be
Wednesday • Posted by Provider Relations
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: COVID-19 Immunization Reporting Required Statewide U.S. Preventive Services Cancer Screening Guidelines Family Support Programs to Improve Maternal Health 3 Ways Patients Can Use Exercise for Arthritis Pain  Providers Can Help Patients Prevent Type 2 Diabetes  Fidelis Care's Credentials Committee Seek Participants   Please download Fidelis Care Provider Bulletin – Volume 8, Issue 1. To view our Provider Bulletin Library, please visit: Provider Bulletins.
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