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. 

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Invitation to Fidelis Care’s February Provider Office Hours
2026/1/16 • Posted by Provider Relations in Provider News, Provider Quality

Office Hours

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*

 

Topic: Fidelis Care – Back to Basics
When:  Thursday, February 19th – 2PM – 3PM EST
Click here to register*

 

Topic: Utilization Management Overview
When:  Thursday, February 27th – 2PM – 3PM EST
Click here to register*

 

*Attendance will be limited to the first 300 registrants for each session.

 

The Fidelis Care Tools & Resources Overview session will include:

  • How to Contact Provider Relations
  • Navigating the Provider Portal
  • Provider Portal Educational Resources
  • Authorization Tools and Resources
  • Provider Tip Sheets
  • Forms and Applications

 

The Quality session will include:

  • Importance of Directory Information
  • Quality Provider Web Page
  • QARR/HEDIS Medical Record Chases
  • New! Quality Incentive Programs
    • 2026 Medicare Partnership for Quality (P4Q) Program
  • New! Risk Adjustment & Continuity of Care Program
    • 2026 Risk Adjustment Continuity of Care (CoC+) Program launch
    • Monthly CDI Webinar sessions
  • CAHPS
    • Best practices for driving CAHPS score improvement by domain
    • Encourage patients to complete upcoming surveys

 

The Back to Basics session will include:

  • Important Updates/Information
  • Product Portfolio
  • Credentialing and Demographic Changes
  • Authorization Requirements
  • Vendor Information
  • Claims and Billing Information
  • Restricted Recipient Program Overview
  • Provider Tools & Resources

 

The Utilization Management sessions will include:

  • Prior Authorization Overview
  • Authorization Resources
  • Authorization Appeals Process
  • Provider Tools & Resources

 

Once you have registered, you will receive a confirmation email.  If you have any questions, please contact your Fidelis Care Provider Engagement Account Manager or Quality Improvement Specialist. To find your designated representative, please visit Contact Provider Relations or the Quality Information page on our website.

Broker Resources

Access forms, manuals, and other important documents and guides for Fidelis Care members. 

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Electronic Funds Transfer

Receive commission checks through Electronic Funds Transfer. 

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