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Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.
Fidelis Care is pleased to announce that the new Quality Care Incentives (QCI) Program is now available on Provider Access Online. Once logged in, please navigate to the File Downloads section to access the brochure.
Fidelis Care is committed to ensuring that our members have access to essential preventive services that promote overall well-being and enhance their quality of life. As a contracted provider with Fidelis Care, your role is vital in helping us achieve this commitment.
For over 25 years, Fidelis Care has provided incentive payments to participating providers for delivering routine preventive care and promoting health among members. The organization remains dedicated to rewarding providers for achieving high-quality outcomes and has made significant changes to the program for Measurement Year (MY) 2025 to align with mutual goals.
For 2025, there will be several significant changes to the program:
This brochure provides an overview of our QCI Program components and coding specifications designed to enhance quality and facilitate reward attainment. You will receive monthly care gap reports to monitor performance and identify patients requiring attention.
For questions about Fidelis Care’s Quality Care Incentives, contact your Provider Partnership Associate. Find their contact info here: https://www.fideliscare.org/Provider/Provider-Resources/Quality
Assisting providers in staying abreast of the latest trends, policies, and studies.
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Volume 10, Issue 1
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Volume 10, Issue 3
Volume 10, Issue 4
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To submit prior authorization request types, use the Fidelis Care provider portal.
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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