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Fidelis Care has a tip sheet available for providers with information from the Centers for Disease Control (CDC) on the importance of chlamydia screening.  According to the CDC, any sexually active person can be infected with chlamydia.  Specifically, chlamydial infections in women can lead to serious consequences.    For further CDC information on chlamydia and screening, who should be tested, diagnosing chlamydia, and billing and reporting practices, visit Fidelis Care’s Importance of Chlamydia Screening Tip Sheet.

On Thursday, July 13, Fidelis Care will host another Provider Office Hours session. During this interactive Zoom session, Fidelis Care staff from several different departments will be available to share information, departmental resources and answer your questions.   Provider Office Hours – July 2023 When:  3:00 PM - 5:00 PM Thursday, July 13 You must register by July 6 for this Zoom webinar. Drop in any time during the two-hour session to be connected to breakout sessions from the following areas:  Coverage Renewal and Recertification Support Clinical Teams

Fidelis Care is pleased to inform you that the most recent 2023 QARR Non-Compliance Report has been posted on Provider Access Online (provider portal). This information is indicative of all encounter data on file with Fidelis Care as of 5/16/2023.  Please refer to the most recent "Non-Compliance Report" instruction letter to understand the information being provided on each tab of the Excel Spreadsheet.  Please notify any staff involved with quality management and advise that these documents have been posted. If you have any questions, please call the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).

As your health plan partner, Fidelis Care would like to share critical information about changes with Medicaid Managed Care, Essential Plan, Child Health Plus, HARP, and MLTC programs across New York State. Based on the Consolidated Appropriations Act, 2023, enacted on December 29, 2022, the continuous enrollment condition that started during the COVID-19 pandemic has come to an end, and most patients will need to act to stay insured - for the first time in more than three years.  Patients will receive notifications about their renewal dates and required actions ahead of time - either from NY State of Health, their Local

The following sections of the Fidelis Care authorization grids have been updated effective August 1, 2023. The Medicaid grid has been updated as follows: G.  Podiatry Services:                      Authorization is no longer required for podiatric services however, authorization requirements will apply to individual services that are indicated on this grid and rendered by podiatrists.                         NOTE: 11719 is a non-covered code for Medicaid when rendered by a physician per the Medicaid Fee Schedule. When rendered by a facility using POS 11, it is covered and requires prior authorization.                             The Medicaid, Medicare, Essential Plan and Metal-Level grids have been updated as follows:        II.   Outpatient surgery:  The following