Добро пожаловать, поставщики медицинских услуг штата Нью-Йорк!

Beginning March 1, 2024, non-emergency medical transportation services for members enrolled in a Medicaid Advantage Plus will be arranged by the Statewide Transportation Broker - Medical Answering Services (MAS) and covered by Medicaid Fee-For-Service.   To arrange non-emergency medical transportation on or after March 1, 2024, the provider or the member must contact MAS at https://www.medanswering.com/ or call 844-666-6270 (Downstate) or 866-932-7740 (Upstate). If possible, transportation arrangements should be made at least three days before the medical appointment.  MAS will require the provider or member to provide the appointment information (date, time, address, and name of provider) and the member’s Medicaid identification

Fidelis Care will be hosting an educational webinar series for our Health Home partners entitled “Wellness 360 for Health Homes: Special Populations”. Health Homes provide community-based care management for Medicaid recipients with chronic medical and behavioral health conditions. The webinars will offer a unique opportunity to learn more about Fidelis Care’s care management associated with HIV, HARP HCBS/CORE, and foster care special populations.  Each training event will focus one of these special populations.   Training Events: Topic: HIV Date:  April 3, 2024 Time:  10:00AM – 11:00AM, ET Registration Link:   https://centene.zoom.us/webinar/register/WN_WBZU4spdTM2uet2RWZL4ng   Topic:  HARP HCBS/CORE Date:  April 10, 2024 Time:  10:00AM – 11:00AM, ET Registration Link: https://centene.zoom.us/webinar/register/WN_6PpJeI87TxGG977EBqGWNQ    Topic: Foster Care Date:  April 17, 2024 Time:  10:00AM –

Beginning March 2, 2024, current enrollees in Qualified Health Plans (Ambetter from Fidelis Care) who are within 200-250% FPL will be notified via letter from NY State of Health about the expansion of Essential Plan coverage in New York State. Members that now qualify for Essential Plan coverage will automatically be moved from their Qualified Health Plan to Essential Plan 200-250, effective April 1, 2024. Fidelis Care is prepared to support our members and providers throughout this transition and will communicate frequently with those affected. We are making every effort to ensure continuity of care by directly reaching out to high-risk

The following sections of the Fidelis Care authorization grids have been updated effective April 1, 2024.   The following codes have been updated on the Medicare, Medicaid, Essential Plan, and Metal-Level Products Authorization Grids and require prior authorization: H.  Therapeutic Services:                                                            1.      Pain Management Codes (i.e. injections, TENS, therapeutic services): 20526, 20550, 20551, 20552, 20553, 21073, 27096, 62263-62264, 62273, 62280, 62281, 62282, 62290, 62320, 62321, 62322, 62323, 62324, 62325, 62326,  62327, 63622, 64400-64530, 64553-64595, 64600-64640, 64582, 64583, 64628, 64629                                         Note: 63622 does not require authorization for requests from

Вы просили, и мы услышали! Fidelis Care рада сообщить о новой функции на Портале поставщиков услуг, позволяющей поставщикам услуг подавать споры по претензиям в электронном виде. С помощью этого простого в использовании нового инструмента поставщики услуг могут подавать повторные заявки COB, апелляции по претензиям или повторное рассмотрение претензий.