Fidelis Care Authorization Grids Effective February 1, 2026
12/29/2025
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Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective February 1, 2026.
The following codes have been added to the Medicaid DME Authorization Grid and require prior authorization:
E0766 Electrical stimulation device used for cancer treatment, includes all accessories, any type
E2606 Positioning wheelchair seat cushion, width 22 inches or wider
Visit: Authorization Grids