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Блог Fidelis Care

Fidelis Care Authorization Grids Effective May 1, 2022
30.03.2022 • Posted by Provider Relations in Provider News

The following sections of the Fidelis Care authorization grids have been updated effective May 1, 2022.


The Medicaid, Essential Plan, Medicare, & Metal Level Plan grids have been updated as follows:


  • Outpatient and DME Services: The following services require prior authorization:
    • Effective 10/1/2021, Outpatient Therapy, including services rendered in the home:  Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST): Please note, CPT codes 92610 and 92611, do not require prior authorization.



  • The following code has been added to the Medicaid authorization grid and requires prior authorization:



~ authorization is required for NYM/HARP members; it is not required for CHP members



Visit:  Authorization Grids


COVID-19 UPDATE: Please refer to this link:  Important Updates Regarding Coronavirus COVID-19, for authorization and coding guidelines related to the COVID-19 Pandemic.