2024/9/12
• Posted by Fidelis Care
• in
Corporate News,
Member News,
Provider News
紐約長島市（2024年9月12日）飛達利斯保健是一個在全州營運的健康計劃，在紐約州擁有逾240萬名會員，是Centene公司的旗下公司，已啟動2024年鄉村健康補助金計劃的申請流程。每筆補助金從$10,000到$20,000不等，旨在幫助醫療保健服務提供者和社區組織為紐約州鄉村社區的健康和保健提供支援。該申請表可在fideliscare.org/rural-grant上找到。申請截止日期為2024年10月4日。
2024/9/11
• Posted by Provider Relations
• in
Provider News
Reminder: Initial and re-assessment treatment planning activities should align with the description of code 97151 (below). Indirect services, such as ongoing treatment planning, are not separate billable services under the current CPT codes. Ongoing treatment planning is bundled with treatment codes 97155 and 97156.
Although this is not new guidance, Fidelis Care will be enforcing these guidelines in Utilization Review and Claims in an effort to better align with the billing expectation guidelines.
97151
Behavior identification assessment, administered by a physician or other qualified health
2024/8/30
• Posted by Provider Relations
• in
Provider News
Fidelis Care is pleased to inform you that the most recent 2024 QARR/HEDIS Care Gap 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 7/16/2024. This report provides you with the opportunity to review preventative services for which Fidelis does not show your members as receiving in the measurement period. We strongly suggest that you review the report for opportunities to either render the service, schedule the service to be done before 12/31/24 or if previously performed, submit supplemental data by 2/1/25. Please notify
2024/8/30
• Posted by Provider Relations
• in
Provider News
Fidelis Care will host two Provider Office Hours in September 2024. During the webinars, Fidelis Care staff will be available to share information, explain different resources, and answer your questions.
Provider Office Hours – September 2024
Topic: Back to Basics – Doing Business with Fidelis Care
When: Thursday, September 11th – 12PM – 1PM EST
Click here to register*
Topic: Fidelis Care Tools & Resources Overview
When: Thursday, September 26th – 2PM – 3PM EST
2024/8/29
• Posted by Provider Relations
• in
Provider News
As a Fidelis Care network provider, you may find yourself in a position to provide trauma-informed care to Medicaid Managed Care (MMC) enrolled children/youth in direct placement foster care and in the care of Voluntary Foster Care Agencies (VFCAs).
Provision and coordination of services for children/youth in foster care, must be done in compliance with the New York Medicaid Program 29-I Health Facility Billing Manual and the Transition of Children Placed in Foster Care and NYS Public Health Law Article 29-I Health Facility Services into Medicaid Managed Care guidance documents located at:
https://www.health.ny.gov/health_care/medicaid/redesign/behavioral_health/children/vol_foster_trans.htm.
The pharmacy benefit requirements include, but are not limited to,
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