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:
Behavioral Health Grant Applications Now Open
How to Contact Your Provider Relations Specialist
New Claims Dispute Functionality in the Provider Portal
Important Reminders About HIV Prevention and Testing
Introducing New Behavioral Health Program (METS)
Please download Fidelis Care Provider Bulletin – Volume 10, Issue 2.
To view our Provider Bulletin Library, please visit: Provider Bulletins.
Tuesday
• Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective June 1, 2024.
The following codes have been added on the Medicaid, Medicare, Essential Plan, and Metal-Level Products Authorization Grids and require prior authorization:
J0209 sodium thiosulfate (Hope)
J1434 fosaprepitant (Focinvez)
The following codes have been added to the Medicaid DME Authorization Grid and require prior authorization:
E0468 Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
E2298 Complex rehabilitative power wheelchair accessory, power seat elevation system, any type
K1037 Docking station for use with oral device/appliance used to reduce
4/12/2024
• Posted by Provider Relations
Providers are required to maintain up-to-date demographic information to ensure efficient and timely processing of claims, accurate provider directory information, and appropriate contact information for communication. As a reminder to our Fidelis Care providers, please review your demographic information in the Provider Portal on a regular basis to ensure the provider data is accurate.
If you have any questions regarding the Provider Portal, or would like to submit your demographic changes in another format (fax, email, or delegated roster), please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.
4/11/2024
• Posted by Provider Relations
The Fidelis Care Provider Relations Department is committed to building strong and lasting relationships with our providers and their staff. To foster this partnership, we have assigned a Provider Relations Specialist to communicate important information and provide support to our providers.
Please be sure to reference our Contact Your Designated Provider Relations Specialist web page if you do not know the name of the specialist assigned to your provider group. To note, there are times that we adjust territory assignments to better serve our providers, so it important to periodically verify your assigned specialist.
If you are unable to determine the identity
4/11/2024
• Posted by Provider Relations
Fidelis Care will host two Provider Office Hours in April 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
Provider Office Hours – April 2024
Topic: Back to Basics – Doing Business with Fidelis Care
When: Thursday, April 18th – 9AM – 10AM EST
Click here to register*
Topic: Provider Portal – Claim and Authorization Appeals
When: Thursday, April 25th - 3PM - 4PM EST
Click here to
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