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Earlier this month Fidelis Care notified providers that, pursuant to the regulatory requirements defined in Article 44 of the New York State Public Health Law for all Managed Care Organizations, it was implementing a change to its appeals process by requiring the submission of written member consent. The change was scheduled to become effective on June 1, 2025.
NYSDOH has informed Fidelis that it is currently reviewing the policy and advised Fidelis Care to postpone its implementation. Therefore, Fidelis Care is rescinding the implementation of the policy until further notice and will provide an update when more information is available.
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 visit Contact Your Designated Provider Relations Specialist.
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