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LATEST NEWS


Invitation to Fidelis Care’s May Provider Office Hours
Yesterday • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in May 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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Written Member Consent Required for Authorization Appeals Effective June 1, 2025
Yesterday • Posted by Provider Relations
Due to regulatory requirements defined in Article 44 of the New York State Public Health Law for all Managed Care Organizations (MCO), Fidelis Care is implementing changes to our Utilization Management/Authorization Appeals process. Effective June 1, 2025, Fidelis Care will require providers to adhere
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Fidelis Care Authorization Grids Effective June 1, 2025
Monday • Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective June 1, 2025.
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Updated Medicaid Hospital Inpatient Reimbursement Rates Effective October 1, 2024
Last Week • Posted by Provider Relations
Fidelis Care would like to remind providers of the updated calculation of hospitals’ initial inpatient acute, exempt hospital, and exempt unit reimbursement rates for Medicaid Fee-for-Service (FFS) and Medicaid Managed Care (MMC), which were effective October 1, 2024.
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MCG Cite Guideline Transparency Tool Upgrade Effective April 26, 2025
Last Week • Posted by Provider Relations
Fidelis Care would like to notify providers that the MCG Cite Guideline Transparency Tool is scheduled to be upgraded to the 29th edition effective Saturday, April 26, 2025. Providers can access this tool through the Fidelis Care Provider Portal.
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Reminder: 2025 Cultural Competency Training Requirements
4/14/2025 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
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Provider Access Online

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Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

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

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

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

UM Resources