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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. 

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Update: Durable Medical Equipment Authorization Requirements
2024/10/7 • Posted by Provider Relations in Provider News

To streamline the authorization process and expedite member care, the following Durable Medical Equipment (DME) codes no longer require prior authorization.

 

Effective immediately, the following codes no longer require prior authorization for Medicaid, CHP, and HARP products:

 

A4239

SUPPLY ALLOWANCE FOR ADJUNCTIVE, NON IMPLANTED CGM

A6540

GRADIENT COMPRESSION STOCKING, WAIST LEN

E0562

HUMIDIFIER, HEATED, USED WITH POSITIVE A

E0601

CONTINUOUS AIRWAY PRESSURE (CPAP) DEVICE

E1390

OXYGEN CONCENTRATOR, SINGLE DELIVERY POR

L0642

LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH

 

For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Engagement Account Manager. To find your designated representative, please click here

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