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With all the increases in technology, it’s easy to forget that healthcare starts with the people who show up every day wanting to make a difference. At Fidelis Care, we are proud to work with caring and conscientious doctors across New York State. Whether they are seeing patients in their office or administering care in a hospital or emergency room, doctors are the lifeblood of our healthcare system.   March 30 is National Doctors Day. On this annual observance, Fidelis Care shares our gratitude to the doctors and healthcare professionals who support the health and wellness of the members and local communities

The following sections of the Fidelis Care authorization grids have been updated effective May 1, 2026.             The following codes have been added to the Medicaid Authorization Grid and requires prior authorization: III.       Outpatient surgery: The following services require prior authorization:      D.  Skin surgery and other dermatological procedures:          ·    Only the following codes continue to require authorization for any place of service: A2030, A2031, A2032, A2033, A2034, A2035, A2036, A2037, A2038, A2039, A2040, A2041, A2042, A2043, A2044, A2045, G0681, G0682, G0683, G0684, 11200, 11201, 15271, 15274, 15275, 15276, 15734, 15769-15776, 15778-15829, 17340-17999, Q4101, Q4121, Q4186, Q4195, Q4196, Q4354, Q4355, Q4356, Q4357, Q4358, Q4359, Q4360,

Pursuant to past guidance by the New York Department of Health (NYDOH), claims submitted under the medical benefit for medications must include a valid National Drug Code (NDC). Claims that do not include an NDC, or that include an NDC that does not match the billed HCPCS code, may be denied and/or not eligible for reimbursement. Billing Guidance Reminders Submit the HCPCS code that accurately reflects the drug administered. Report the 11-digit NDC (5-4-2 format, no spaces or hyphens) that corresponds to the actual product administered. Ensure the NDC matches the HCPCS code and that both align to the service documented

Fidelis Care will host three Provider Office Hours in April 2026. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions. Provider Office Hours – April 2026   Topic: Fidelis Care – Back to Basics When:  Thursday, April 9th – 12PM – 1PM EST Click here to register*   Topic: Fidelis Care and WellCare Quality Programs When:  Wednesday, April 15th – 10:00AM – 11:00AM EST Click