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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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Fidelis Care Authorization Grids Effective June 1, 2026
2026/4/29 • Posted by Provider Relations in Provider News

The following section of the Fidelis Care authorization grids has been updated effective June 1, 2026.

           

The following code has updated been on the Medicaid, CHP, Essential Plan, and Ambetter Metal-Level Plans Authorization Grids and requires prior authorization:

Q5111  pegfilgrastim-cbqv (udenyca)

 

Visit:  Authorization Grids

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