Welcome, Brokers!

Fidelis Care serves more than 1.7 million children and adults of all ages, making us one of the largest health insurance plans in New York State. We were founded on the belief that all New Yorkers should have access to quality, affordable health insurance, and our mission to help others informs everything that we do. 

Latest News


2025/11/13 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care would like to inform our providers of plan changes that will be effective January 1, 2026.    Wellcare By Fidelis Care Wellcare Fidelis Dual Plus (HMO D-SNP) – Plan 003 Effective January 1, 2026, the plan name will change from Wellcare Fidelis Dual Plus (HMO D-SNP) to Wellcare Fidelis Dual Align (HMO D-SNP). Wellcare Fidelis Dual Access (HMO D-SNP)
2025/11/4 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care is committed to supporting continued access to telehealth services. Although Congress only authorized Medicare reimbursement for expanded telehealth services through September 30, 2025, Wellcare By Fidelis Care will extend coverage for Medicare telehealth benefits through 2026.   There will be no disruption in coverage to our Wellcare By Fidelis Care members or providers during 2025 and 2026. Providers should continue to offer and bill for telehealth visits as they normally would.   Wellcare By Fidelis Care’s Medicare plans have benefits aligned with the flexibilities that have been previously offered as supplemental benefits. As a result, even after the expiration of Medicare flexibilities,
2025/10/23 • Posted by Provider Relations • in Provider News, Provider Quality
As we approach the final quarter of the year, we’re entering a critical phase of the Continuity of Care (CoC) program. Our shared goal remains clear: to ensure patients receive timely, high-quality care while closing the most impactful clinical gaps by December 31. To support you in this effort, we’ve refined the appointment agenda to focus on the most urgent and actionable opportunities with a particular emphasis on risk adjustment conditions. This streamlined approach is designed to: Prioritize the highest-value clinical care gaps for closure; Maximize your time during each patient encounter to focus on the more critical clinical and
2025/10/23 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care will host three Provider Office Hours in November 2025. 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 – November 2025   Topic: Fidelis Care – Back to Basics When:  Thursday, November 13th – 9AM – 10AM EST Click here to register*   Topic: Fidelis Care and Wellcare - Quality Programs When:  Wednesday, November 19th – 10 AM – 11 AM EST
2025/10/3 • Posted by Provider Relations • in Provider News, Provider Quality
Fidelis Care is partnering with Healthmap Solutions (Healthmap) to provide care coordination services within our kidney health management (KHM) program. As a leading national kidney health management company, the partnership with Healthmap will provide more comprehensive care for Medicaid, HARP, CHP, and Wellcare By Fidelis Care Medicare and Dual Advantage members, with chronic kidney disease (CKD) stages 3, 4, 5, and end stage renal disease (ESRD). If you have a patient with kidney disease, or chronic conditions that may lead to kidney disease, Healthmap may contact you to facilitate care. Healthmap provides collaborative recommendations through workflow-friendly clinical decision support. Healthmap’s KHM program
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