A CMS-mandated program, the Chronic Care Improvement Program (CCIP) is designed to reduce hospitalizations for our Medicare members diagnosed with congestive heart failure. The program is closely aligned with the Million Hearts Campaign, which has a goal of significantly reducing the number of strokes and heart attacks over five years.

Similarly, the Quality Improvement Program (QIP) is designed to reduce all-cause re-admissions for Medicare members who have a heart failure diagnosis by focusing on medication adherence and care coordination. The QIP is aligned with the national Partnership for Patients campaign.

Fidelis Care is proud to provide the following links to additional information on best practices and clinical guidelines:

National Guidelines Clearinghouse - AHRQ - US Dept. of Health and Human Services

• Prevent or manage disease complications
• Coordinate appointments with primary care providers and specialists
• Manage medications
• Arrange for in-home equipment or services for more independent living
• Connect with community resources and services
• Make positive lifestyle changes
• Provide moral support

HealthierLife Performance Improvement Project (PDF)

Self-Help and Resource Guide (PDF)

Evidence Based Practices Resource Center

Prevent Suicide NY

Suicide Prevention Lifeline

National Institute for Mental Health Resources 

Behavioral Health Uniform Network Provider Training Program

Fidelis Care participates in a collaboration with New York State Health Plan Association, Center for Practice Innovations, and the Center on Addiction to provide a uniform clinical online training in core competencies to licensed OMH clinics and PROs providers, as well as licensed OASAS clinic programs statewide. Programs are strongly encouraged to take advantage of this training resource.

Learn how to get started

Perinatal PIP Provider Brochure (PDF)

To support the critical role that pediatricians and primary care physicians play in the early identification and access to treatment for emotional disturbances in children, the New York State Office of Mental Health (OMH) is funding a collaborative effort of State and County governments with medical providers designed to link pediatricians and primary care physicians with child mental health experts across New York State.

Project TEACH (Training and Education for the Advancement of Children’s Health) will provide specialized training, consultation and linkage with mental health treatment for primary care physicians statewide.  It is a collaboration of OMH with the Department of Health (DOH), Conference of Local Mental Hygiene Directors, American Academy of Pediatrics (AAP) and the New York State Academy of Family Physicians (AAFP).

Review evidence based questionnaires and rating scales for the screening, diagnosis, and monitoring of  a range of behavioral health needs for pediatricians. 

For more information, visit the Project TEACH website, the New York State Office of Mental Health website, or contact Dr. David Kaye, Project Director at 716-887–5775.

Weight Assessment and Counseling Message from Dr. Marchello (PDF)

Preventive Care Assessment Form for Children and Adolescents (PDF)