Monday
• Posted by Provider Relations
• in
Provider News,
Provider Quality
We are committed to making it easier for providers to access the information and tools they need to support our members. Based on feedback and ongoing review, we are making several updates to the Provider section of fideliscare.org. These enhancements are designed to simplify navigation, reduce outdated materials, and bring key resources together in one place.
Here’s what’s new:
Streamlined Authorization Information
Authorization content has been consolidated into a single, streamlined web page to reduce confusion and improve clarity.
The updated page now clearly separates:
Delegated Vendor Authorization Programs
Fidelis Care Authorizations
Updated Provider News and Bulletins
Provider News and Bulletins have been combined to improve visibility
2026/2/20
• Posted by Provider Relations
• in
Provider News,
Provider Quality
Fidelis Care will host three Provider Office Hours in March 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 – March 2026
Topic: Fidelis Care – Back to Basics
When: Thursday, March 12th – 9AM – 10AM EST
Click here to register*
Topic: Fidelis Care and WellCare Quality Programs
When: Wednesday, March 18th – 10:00AM – 11:00AM EST
Click
2026/1/16
• Posted by Provider Relations
• in
Provider News,
Provider Quality
Fidelis Care will host four Provider Office Hours in February 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 – February 2026
Topic: Fidelis Care Tools & Resources Overview
When: Thursday, February 12th – 12PM – 1PM EST
Click here to register*
Topic: Fidelis Care and Wellcare Quality Programs
When: Wednesday, February 18th – 10AM – 11AM EST
Click here to register*
2026/1/13
• Posted by Provider Relations
• in
Provider News,
Provider Quality
Fidelis Care is pleased to announce that providers now have access the Availity Clinical Quality Validation (CQV) tool designed to help providers close care gaps quickly and accurately. Through the Availity Essentials portal, CQV streamlines documentation and improves quality scores while reducing administrative burden.
What is CQV?
Clinical Quality Validation (CQV) is an Availity Essentials application that helps providers:
· Monitor targeted care gaps/measures for the measurement year.
· View and respond to payer requests for clinical/medical data.
· Improve quality scores and reduce administrative burden.
Benefits
· Streamlined workflow for care gap closure.
· Faster access to clinical data.
· Enhanced provider experience across multiple markets.
Availity-led Training for
2026/1/8
• Posted by Provider Relations
• in
Provider News,
Provider Quality
Special Supplemental Benefits for the Chronically Ill (SSBCI) can be offered to Medicare Advantage (MA) members who have one or more complex chronic conditions, are at high risk for hospitalization or adverse health outcomes and require intensive care coordination. SSBCI aims to improve overall health outcomes for the chronically ill population by addressing social needs beyond traditional medical care such as food, housing, transportation, and gaps in care. The program is designed to support individuals by offering additional services beyond standard Medicare coverage.
Members must qualify for SSBCI benefits
Members must meet all three criteria to qualify:
The member must require intensive
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