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LATEST NEWS


Friday • Posted by Provider Relations
As part of our ongoing work to improve the prior authorization (PA) process for both providers and members, Fidelis Care wants to share some important updates to our PA requirements for Medicaid, Ambetter From Fidelis Care and Medicare lines of business.
Thursday • Posted by Provider Relations
The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2026.
Last Week • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in March 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
Last Week • Posted by Provider Relations
Nutrition plays a vital role in managing chronic conditions and supporting whole-person care.
2/11/2026 • Posted by Provider Relations
In accordance with Chapter 645 of the Laws of 2005, the New York State (NYS) Medicaid program does not cover prescription or physician-administered drugs used for the treatment of sexual dysfunction (SD) or erectile dysfunction (ED).
2/6/2026 • Posted by Provider Relations
Fidelis Care would like to remind our provider community of the required protocols for submitting corrected claims and to clarify how these differ from appeals. Following these guidelines helps ensure timely and accurate claims processing.
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Social Care Network

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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Required Cultural Competency Training

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Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

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Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.