¡Bienvenidos, proveedores!

In an effort to streamline provider demographic changes, Fidelis Care has created a new electronic Demographic Change Request Form for providers to use.  Please use this form to submit demographic changes under a singular TIN currently participating in the Fidelis Care network. In order to expedite the request, all fields on this form are required. If not complete, the request will be delayed. Once completed, the form can be submitted electronically to SMProviderAttestationUpdates@fideliscare.org. In the subject line of the email, please enter Demographic Change Request for "Your Provider/Group Name" in "Your County" (i.e. Demographic Change Request for ABC Healthcare Group in

Providers are required to maintain up-to-date demographic information to ensure efficient and timely processing of claims, accurate provider directory information, and appropriate contact information for communication.  As a reminder to our Fidelis Care providers, please review your demographic information in the Provider Portal on a regular basis to ensure the provider data is accurate.  If you have any questions regarding the Provider Portal, or would like to submit your demographic changes in another format (fax, email, or delegated roster), please contact your Fidelis Care Provider Relations Specialist.  To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.  

Annual cultural competency training for participating providers is required by the New York State Department of Health.  At this time, The New York State DOH will only accept the approved training offered by the United States Department of Health and Human Services (HHS), Office of Minority Health education program, Think Cultural Health, to fulfill the requirement for provider annual cultural competency training.*   Once the cultural competency training has been completed, providers need to verify completion of the program by emailing the Cultural Competency Attestation Form to: CulturalCompetencyTrainingAttestation@fideliscare.org.   The required Cultural Competency Training needs to be completed annually by December 31st. Providers that completed

Fidelis Care would like to make you aware new explanation codes you may see on remittances for Wellcare By Fidelis Care Dual Access members:   Explanation Code        918 - Member Liability The member is responsible for these out-of-pocket cost share amounts. 919 - Non-Billable Cost Share Do Not Bill Member; for this scenario the member is not liable for the cost share as the amount paid to the provider meets the contractual reimbursement. 920 - Bill Cost Share to Medicaid For this scenario, the associated cost share needs to be billed

Fidelis Care will host two Provider Office Hours in May 2024. During the webinar, Fidelis Care staff will be available to share information, explain different resources, and answer your questions. Provider Office Hours – May 2024 Topic: Back to Basics – Doing Business with Fidelis Care When:  Thursday, May 9th – 12PM – 1PM EST Click here to register*   Topic: Utilization Management When:  Thursday, May 23rd – 9AM – 10AM EST Click here to register* *Attendance will