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LATEST NEWS


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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Invitation to Fidelis Care’s June Provider Office Hours
5/16/2025 • Posted by Provider Relations
Fidelis Care will host three Provider Office Hours in June 2025. During the webinars, Fidelis Care staff will be available to share information, provide an overview of provider resources, and answer your questions.
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Reminder: Mandatory Medicaid Compliance Program
5/16/2025 • Posted by Provider Relations
Fidelis Care has received notice from the Office of the Medicaid Inspector General (OMIG) of new compliance program requirements for Medicaid participating providers.
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Updated Evolent Authorization Requirements Effective June 1, 2025
5/16/2025 • Posted by Provider Relations
The following codes on the Evolent/Fidelis Care authorization grid have been updated effective June 1, 2025.
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Measure Coding Education – Kidney Health Evaluation for Patients with Diabetes (KED) 82043 vs. 82044
5/14/2025 • Posted by Provider Relations
Diabetes is the leading cause of chronic kidney disease affecting almost one in three people. Clinical guidelines recommend that all people with diabetes have routine tests to detect kidney disease. However, less than half get the needed tests. 
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Reminder: 2025 Cultural Competency Training Requirements
5/14/2025 • Posted by Provider Relations
Annual cultural competency training for participating providers is required by the New York State Department of Health.
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Provider Access Online

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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.

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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.

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Electronic Transactions

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Utilization Management (UM)

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

UM Resources