¡Bienvenidos, proveedores!

Fidelis Care will host three Provider Office Hours in October 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 October 2026 Topic: Fidelis Care – Tools and Resources Overview When:  Thursday, October 8th – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care and Wellcare Quality Programs When:  Wednesday, October 21st – 10:30AM – 11:30AM EST Click here to register*

To support accurate and timely claims processing, providers are reminded not to submit a corrected claim until the original claim has completed processing and reached a finalized status. When a corrected claim is submitted for a claim that has not yet finalized, the submission will be rejected with code 6U – Unfinalized claim; replacement cannot be accepted. This rejection is intended to prevent duplicate or conflicting claim activity while the original claim is still under review in process. What Providers Need to Know Wait for the original claim to finalize before submitting a corrected claim. Corrected claims submitted before the original claim

As you may be aware, Section 12006 of the 21st Century Cures Act, along with CMS guidance, required states to implement Electronic Visit Verification (EVV) for Personal Care Services by January 1, 2021, and for Home Health Care Services by January 1, 2023. As of 2026, EVV requirements are fully implemented, requiring applicable services to be electronically verified and documented, including the member receiving care, caregiver, service location, date, and type of service provided.   Next Steps To ensure EVV data is accurately captured for providers delivering in-scope EVV services, Fidelis Care will require all providers — including existing EDI and Enterprise (ENT) providers — to submit

Recovery is possible. Treatment works. And as healthcare professionals, we play a critical role in helping individuals take the first step toward recovery. At Fidelis Care, we recognize that substance use disorder (SUD) is a chronic, treatable medical condition. Yet despite advances in treatment and growing awareness, stigma remains one of the greatest barriers preventing individuals from seeking care, engaging in treatment, and sustaining recovery. Through our End the Stigma Initiative, Fidelis Care is committed to promoting recovery, increasing access to evidence-based treatment, connecting members to supportive services, and providing physicians and healthcare professionals with tools and resources to better serve individuals