2025/8/1
• Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.
The following code has been updated on the Medicare Authorization Grid and requires prior authorization:
Durable Medical Equipment/Supplies:
E1012 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each
The following section of the Fidelis Care authorization grids have been updated effective July 1, 2025.
The following codes have been updated on the Medicare Authorization Grid and no longer require prior authorization:
Service Category
Services
2025/7/30
• Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in August 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 – August 2025
Topic: Fidelis Care – Back to Basics
When: Thursday, August 14th – 12PM – 1PM EST
Click here to register*
Topic: Fidelis Care and WellCare Quality Programs
When: Wednesday, August 20th – 10AM – 11AM EST
Click
2025/7/30
• Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective September 1, 2025.
The following code has been updated on the Essential Plan and Metal-Level Products Authorization Grids:
Durable Medical Equipment/Supplies:
1. These DME codes do not require an authorization: A7046
The following codes have been updated on the Medicare Authorization Grid:
A. Durable Medical Equipment/Supplies:
1. These DME codes do not require an authorization: A4557, A5500, A6530, A7046, E0443, E0730, E0849, E0951, E0955, E0956, E0961, E0971, E0973, E0990, E1392, E2210, E2365, E2601, E2607, E2624, K0001, K0019, K0040, K0195, K0738, L5685
2. The following orthotic codes
2025/7/21
• Posted by Provider Relations
Fidelis care would like to inform all participating providers that we will be conducting an Access & Availability Survey in the coming weeks. This survey ensures that providers are meeting NYS mandated Access & Availability standards for all Fidelis Care members.
The survey will assess:
Timeliness of appointment scheduling based on appointment type. For example:
Routine Care
Urgent Care
Non-Urgent Sick Visit
After Hours Availability
Accuracy of provider directory information.
This applies to Primary Care Providers, OB/GYNs, Oncologists, and Behavioral Health Providers.
Typical reasons for non-compliance include:
Appointment scheduling timeframes do not meet state guidelines.
Office
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