WellCare of New York Transitions to Fidelis Care

Effective June 1, 2020, WellCare of New York, Inc. migrated to Fidelis Care, a Centene Company. This announcement is to help providers with changes affecting current New York Medicaid members’ 2020 Claim Submissions, Member Eligibility, Claim Status Inquires and Customer Service information.

Claims for Dates of Service (DOS) prior to 6/1/20 should be submitted to WellCare with the following information:

Claims for DOS of 6/1/20 and forward, should be submitted to Fidelis Care with the following information:

NOTICE: Claim submissions submitted to WellCare for DOS after the member migrates to the Fidelis plan may receive the below rejection description:

WellCare Eligibility Rejection Description: Patient was not eligible for benefits under this WellCare plan (PayerID 14163) for this date of service. Please review the Subscriber's ID card; they may be covered under the Fidelis Plan (PayerID 11315) for dates of service on or after 06/01/2020.