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Fidelis Care will host three Provider Office Hours in May 2026. During the webinar, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions. Provider Office Hours – May 2026   Topic: Fidelis Care – Back to Basics When:  Thursday, May 14th – 9AM – 10AM EST Click here to register*   Topic: Fidelis Care and Wellcare Quality Programs When:  Wednesday, May 20th – 10AM – 11AM EST Click

Our annual provider satisfaction survey will launch this month and we hope you’ll take a moment to share your feedback.  This survey serves as the foundation for key improvement initiatives that we undertake each year, and your feedback is critical to making sure we address the issues that are important to you.  We look forward to learning about how we can continue to improve your experience in doing business with us. Please keep an eye out for our survey in the coming weeks.

Fidelis Care is pleased to announce a new addition to the Provider Manual—the Quality Policy. The policy seeks to set forth the core quality requirements for any provider contracted with Fidelis Care. Those requirements include 1) a minimum Medicare Stars rating of 2.5 or higher, 2) ensuring that at least 50% of the Medicaid HEDIS measures perform at the 75th percentile or higher, 3) 100% medical record submissions for HEDIS & Risk Adjustment purposes, and 4) adherence to digital methods of records submission, or allowing remote access when otherwise not covered. Failure to meet those core requirements will lead to

Fidelis Care’s Pharmacy Services would like to provide clarification on how medications are covered under member’s medical and pharmacy benefits.   Medications Covered Under Fidelis Care Medical Benefit Physician Administered Drugs – medications administered to a member during an outpatient visit. Providers obtain medication via “buy-and-bill” or shipment to their practice site from a vendor of their choosing. Coverage is dictated by Fidelis Care Authorization Grids, Prior Authorization Lookup Tool and/or Evolent Specialty Services (formerly NCH) Authorization Grids (Oncology Regimen Specific). Medical Benefit Authorization Grids are plan specific. If a medication is listed on one of the above authorization grids/tools, an authorization