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BABYCARE PROGRAM PRENATAL ENCOUNTER FORM The Baby Care Incentive Program BIP rewards providers for the demonstration of quality care according to QARR/HEDIS standards. The information that you provide enables us to follow our members from prenatal to postpartum care. Directions Please complete this form and submit it to Fidelis Care as soon as you have seen our member for their first prenatal visit as a Fidelis Care member. BABYCARE PROGRAM PRENATAL ENCOUNTER FORM The Baby Care Incentive Program BIP rewards providers for the demonstration of quality care according to QARR/HEDIS standards. The information that you provide enables us to follow our members from prenatal to postpartum care. Directions Please complete this form and submit it to Fidelis Care as soon as you have seen our member for their first prenatal visit as a Fidelis Care member. You can either mail the form or fax it to 1-866-815-7223. You will qualify for a 100. 00 bonus if the member has had a prenatal visit in the fir....

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Fidelis Rewards
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Fidelis Rewards
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What is a healthy reward? Healthy rewards are incentives that promote healthy lifestyles among participants. At least, that's what incentive planners hope they do. These can include water bottles or workout gear with the company logo. Premium discounts can also fall into the healthy rewards bucket.

Covered benefits include: Preventive care, including well visits, immunizations, and preventive screenings. Dental and vision care. Prescription and non-prescription drugs.

Fidelis Care offers the Children's Health and Behavioral Health Program for Medicaid Managed Care members under the age of 21.

Imaging (CT/PET scans, MRIs) $40 copay per visit after deductible Not covered Prior authorization is required for certain blood work and diagnostic imaging except x-ray.

The Essential Plan offers access to essential health benefits, such as: Preventive care and chronic disease management. Emergency Services and hospitalization. Maternity and newborn care.

Qualified Health Plan members and their spouses are eligible for Fitness Reimbursements, which pay you and a covered spouse up to $600 per year when you enroll in a qualified fitness facility and each visit at least 50 times in a six-month period.

outpatient surgery One copay is charged per surgery and applies only to surgeries performed in a hospital inpatient or hospital outpatient facility setting, including freestanding surgicenters (does not apply to office surgeries).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232