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LATEST NEWS


New! Health Savings Unit (HSU) Recovery Letters Now Available on the Provider Portal
Tuesday • Posted by Provider Relations
You asked and we listened! Fidelis Care is pleased to announce that Health Savings Unit (HSU) Recovery letters are now available on Provider Access Online, Fidelis Care’s Provider Portal, in the File Download section.
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Fidelis Care Pharmacy Benefits and Authorizations
Monday • Posted by Provider Relations
Fidelis Care’s Pharmacy Services would like to provide clarification on how medications are covered under member’s medical and pharmacy benefits.
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Fidelis Care Provider Bulletin - Volume 11, Issue 2 – Spring 2025
Monday • Posted by Provider Relations
Fidelis Care is pleased to announce that a new Provider Bulletin is now available. The bulletin features updates on important initiatives and the latest news of interest to our provider community.
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Children and Family Treatment and Support Services (CFTSS) Utilization Review Process Effective July 1, 2025
Friday • Posted by Provider Relations
Fidelis Care would like to notify our providers of an update to our Children and Family Treatment and Support Services (CFTSS) Utilization Review Process.
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Fidelis Care Authorization Grids Effective July 1, 2025
Last Week • Posted by Provider Relations
The following section of the Fidelis Care authorization grids have been updated effective July 1, 2025.
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Annual Medicare Special Needs Program (SNP) Model of Care (MOC) Provider Training
5/19/2025 • Posted by Provider Relations
The Centers for Medicare and Medicaid Services (CMS) requires that providers receive Medicare Special Needs Program (SNP) Model of Care (MOC) Training annually.
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Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Log In

Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

Learn More

Join Our Network

Apply to our network and become a part of the Fidelis Care mission. 

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Required Cultural Competency Training

Access the Provider Attestation Statement and submit completion of training.

Attestation Form

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Provider Portal

Electronic Transactions

Submit claims electronically for faster processing and reimbursement.

E-Transactions

Utilization Management (UM)

Find information and links to external vendor authorizations and to internal resources.

UM Resources