Published February 2024
MVP Provider Policies and Payment Policies includes revisions on operational procedures, plan type offerings, and clinical programs. The policies are designed to serve as a reference tool for Providers and facilities. The following policies have been updated, with an effective date of January 1, 2024, and are posted here.
MVP Provider Policies
- Appeals Process
- Claims
- Credentialing
- MVP Medicare Advantage Plans
- MVP Network Vendors
- MVP Plan Type Information
- Pharmacy Benefits
- Provider Responsibilities
- Utilization and Case Management
MVP Payment Policies
- Applied Behavior Analysis Services
- Arthroscopic, Endoscopic, and other NonGastro Intestinal Scope Procedures
- Diabetic Management and NutritionalCounseling
- Emergency Department - Physician
- EyeMed Payment Policy
- Implantable Devices
- Incident to Guidelines
- Mental Health and Substance Use Disorder
- Nurse Practitioner (NP)/Physician Assistant (PA)/Clinical Nurse Specialists (CNS) Billing in a Skilled Nursing Facility, Nursing Facility, Inpatient Setting
- Preventive Health Care
- Radiopharmaceuticals
- Services Not Separately Reimbursed
- Vaccine Administration (Vermont Only)
MVP Process Updates
Review other articles in this issue regarding MVP process updates.