Fidelis Care Achieves 4-Star Rating in NCQA's Medicaid Health Plan Ratings 2026
Fidelis Care Earns Prestigious 4-Star Rating from NCQA
Fidelis Care, a prominent health plan operating throughout New York State and a subsidiary of Centene Corporation, has achieved a remarkable 4-star rating from the National Committee for Quality Assurance (NCQA) for its Medicaid Health Plan in 2026. This achievement signifies a high standard in clinical quality and enhances member experience, acknowledging the hard work put forth by the organization's dedicated employees and partnerships.
The NCQA's annual Health Plan Ratings evaluates various health plans based on key aspects of clinical quality and member satisfaction. Receiving a 4-star rating reflects Fidelis Care’s relentless commitment to advancing high-quality, affordable healthcare services to its members, ensuring positive health outcomes across New York State.
Among the factors contributing to this remarkable rating are notable areas such as prenatal and postpartum care. Effective management strategies in childhood and adolescent immunizations, as well as screenings for breast and colorectal cancer, have set a high standard in chronic condition management. This focus on member experience is a testament to the organization's commitment to innovation and excellence.
Ryan Goodenough, Vice President of Quality Improvement at Fidelis Care, stated, “Earning a 4-Star NCQA rating reflects the dedication of our employees, provider partners, and community organizations that work every day to support the health of New Yorkers. This progress reinforces our continued focus on quality, access to care, and a positive experience for the members and communities we serve.” With such accolades, the commitment to improving member healthcare is unmistakable.
Fidelis Care continues to channel investments into various programs and strategic partnerships that enhance access to preventive services for its members. These initiatives foster chronic condition management and ensure timely, coordinated care. The 4-star recognition from NCQA not only validates these efforts but also highlights the collaborative spirit that thrives within the organization and its extensive network of healthcare providers.
About NCQA
The National Committee for Quality Assurance (NCQA) operates as a private, nonprofit organization devoted to delineating quality standards in healthcare. NCQA plays a crucial role in accrediting and certifying a wide array of healthcare organizations while recognizing clinicians in significant clinical areas. The HEDIS® (Healthcare Effectiveness Data and Information Set) tool is widely recognized as a primary performance measurement method utilized throughout the healthcare industry.
Fidelis Care Commitment
Fidelis Care prides itself on being a mission-driven health plan that offers comprehensive and affordable coverage to children and adults of all ages. With a membership exceeding 2 million in New York State, the organization firmly believes in ensuring that all New Yorkers have access to high-quality health insurance. For those interested in staying updated, follow them on various social media platforms including LinkedIn, Instagram, and Facebook, or visit their official website for more information.
For further details or inquiries, members can reach out to Fidelis Care at 1-888-FIDELIS (1-888-343-3547) or explore their offerings at fideliscare.org.