Manage Your Account
Looking for benefits information? Need to check the status of a claim? Sign in below to access account information, online tools and resources, and more.
Make a Child Health Plus Payment
Pay your Child Health Plus premium online (debit, credit card or eCheck).
How to Renew
We’ll guide you through the process of renewal in your current program or help you enroll in the program that meets your needs today. Renewal in any of these programs is an annual requirement.
How to renew Child Health Plus.
Beginning with 7/20/17 renewal dates, all Child Health Plus renewals must take place on the NY State of Health Marketplace website at nystateofhealth.ny.gov. Select Individuals & Families to sign in to your online account. You may also call the NYSOH Marketplace at 1-855-355-5777.
Members may also visit a Marketplace Facilitated Enroller to complete renewals for Child Health Plus. If you need help in renewing, please call the MVP Customer Care Center at 1-800-852-7826 or contact us.
How to renew Medicaid Managed Care.
If you signed up for Medicaid Managed Care through the NY State of HealthTMMarketplace (NYSOH), you will receive notification from the NYSOH and you can renew online by visiting nystateofhealth.ny.gov. Select Individuals & Families to sign in to your online account. You may also call the Marketplace at 1-855-355-5777.
Most people who did not enroll through the NY State of HealthTMMarketplace, will receive a letter from their local County Department of Social Services and the NYSOH explaining how to renew their eligibility.
Individuals receiving community-based long-term services will receive a letter from the local County Department of Social Services with additional renewal instructions.
If you have any questions about renewing your coverage or need assistance, please call the MVP Customer Care Center at 1-800-852-7826 or contact us.
How to renew Essential Plans.
If you signed up for an Essential Plan through the NY State of HealthTM Marketplace, you must renew annually during the annual open enrollment period (11/1/16 – 1/31/17). You can renew online by visiting the NY State of Health Marketplace at nystateofhealth.ny.gov, select Individuals & Families to sign in to your online account, or you may call the Marketplace at 1-855-355-5777.
How to Apply
MVP is here to help! There are a number of ways to get assistance with applying for insurance on the NY State of HealthTM Marketplace, or for MVP’s free and low cost New York State sponsored health insurance programs—Medicaid Managed Care, Child Health Plus, and the Essential Plan.
- MVP Marketplace Facilitated Enrollers will meet with families and individuals at convenient times and locations to help with completing the application, gathering needed documents and submitting the application. Call 1-800-825-5687 to set up an appointment or get started here.
- Marketplace Facilitated Enrollers are available to residents of Albany, Columbia, Dutchess, Genesee, Greene, Jefferson, Lewis, Livingston, Monroe, Oneida, Ontario, Orange, Putnam, Rensselaer, Saratoga, Schenectady, Sullivan, Rockland, Ulster, Warren, Washington and Westchester counties.
- You can check our events calendar or find when an MVP Community Outreach Vehicle is in your area to get answers to your questions and enroll in an MVP plan.
- If you live in another county, find an In Person Assistor/Navigator to assist you.
- You may also find it helpful to find your Local Department of Social Services.
Download Member Guides and Plan Documents
Medicaid Managed Care Member Guide
Child Health Plus Subscriber Contract
MVP Harmonious Health Care Plan Member Guide
MVP Health Plan, Inc. is a New York not-for-profit corporation.
MVP Health Care, Inc., also a New York not-for-profit corporation, is the ultimate, sole corporate member of MVP Health Plan, Inc.
No individual or entity has an ownership or controlling interest in MVP Health Care, Inc.
Learn about benefits.
When you join MVP Health Care, you enjoy the benefits of having your own doctor who can take care of your routine medical needs. As a member, your services include:
- Hospital and emergency care
- Dental care
- Specialist care
- Vision, hearing and speech services
- Prescription drug coverage
- Mental health/substance use disorder services
- Laboratory and X-ray services
- Prenatal care and family planning
- and much more
Get information on specialty medicines.
CVS Specialty is a pharmacy that specializes in the dispensing of some high cost injectable and oral medications. These medications may be either self-administered or given by a physician in the office. CVS Specialty provides personalized support and valuable services that a local retail pharmacy may not be able to provide.
Ordering a New Prescription
To determine if a medication is available through CVS Specialty, check the Formulary.
If your medication is listed with a “+” it is available through CVS Specialty. You may order up to a 30-day supply with a doctor’s prescription and prior authorization (where required).
MVP’s prior authorization process does not change when you use CVS Specialty. Your doctor must still obtain prior authorization from MVP for certain injectable and oral medications. To do this, call your doctor. Once authorization is obtained, your doctor may fax or call your prescription into CVS Specialty.
You can also mail your prescription along with your payment or billing information to:
- CVS Specialty
- P.O. Box 2110
- Pittsburgh, PA 15230-2110
Contact CVS Specialty by calling toll-free at 1-866-444-5883.
CVS Specialty has dedicated a team of their employees to MVP members. They will set up your account and arrange for both payment and delivery of your medication.
Ordering a Refill Prescription
CVS Specialty is proactive in contacting members with refill reminder phone calls. Your care coordinator will contact you prior to your refill date to ensure that you receive your medication on time. At that time, they will arrange for payment and delivery of your medication.
When you need to refill a prescription with CVS Specialty, simply choose one of the following options:
Refill by Phone
Call toll-free at 1-866-444-5883. Have your prescription number and payment information available.
Simply visit CVS Specialty and follow the instructions under Order Refills and Check Order Status Online.
Need to choose a breast cancer surgery center?
In accordance with New York State Department of Health requirements, MVP may no longer authorize inpatient or outpatient mastectomy and lumpectomy procedures at hospitals and ambulatory surgery centers identified as low volume by NYSDOH. Please note that the facility must also be contracted with MVP in order to be authorized.
For more information, click here.
Children and Family Treatment and Support Services
Starting July 1, 2019, MVP will cover more behavioral health services for children and youth.
MVP Medicaid Managed Care members under age 21 will be able to access the following services:
Office of Alcoholism and Substance Abuse Services (OASAS), including:
- Outpatient Clinic (Hospital Based)
- Rehabilitation Programs (Hospital Based)
- Opioid Treatment Program Services (Hospital Based)
- Chemical Dependence Inpatient Rehabilitative Services
Injections for Behavioral Health Related Conditions
Children and Family Treatment and Support Services (CFTSS), including:
- Psychosocial Rehabilitation (PSR)
- Community Psychiatric Supports and Treatment (CPST)
- Family Peer Support Services
- Other Licensed Practitioner (OLP)
Office of Mental Health (OMH) Outpatient Services and Designated Serious Emotional Disturbance (SED) Clinic Services
Assertive Community Treatment (ACT)
Continuing Day Treatment
Personalized Recovery Oriented Services (PROS)
Comprehensive Psychiatric Emergency Program (CPEP) including Extended Observation
Inpatient Psychiatric Services
Who is covered for these services?
MVP will cover these services for all eligible children and youth under age 21, including those:
- With Supplemental Security Income (SSI)
- Who have Federal Social Security Disability Insurance (SSDI) status, or
- Who have been determined certified disabled by a New York Medical disability review.
Starting January 1, 2019, Children and Family Treatment and Support Services (CFTSS) will be covered by your Medicaid Managed Care Plan benefit package. These services help children and their families improve their health, well-being, and quality of life. CFTSS are for children less than 21 years old with behavioral health needs. These services may be provided at home or in the community.
- Other Licensed Practitioner (OLP). This benefit lets children get individual, group, or family therapy where they are most comfortable.
- Psychosocial Rehabilitation (PSR). This benefit helps children relearn skills to help them in the community. This service was called “Skill Building.”
- Community Psychiatric Supports and Treatment (CPST). This benefit helps children stay in their home and communicate better with family, friends and others. This service was called “Intensive in Home Services,” “Crisis Avoidance Management and Training,” or “Intensive in Home Supports and Services.”
If a child is getting “Skill Building,” “Intensive in Home Services,” “Crisis Avoidance Management and Training,” or “Intensive in Home Supports and Services” now, their care will not change. However, after January 1, 2019, these services have a new name.
Who is eligible?
Children under the age of 21 with non-Supplemental Security Income (SSI) Medicaid Managed Care (MMC) and meet the medical necessity criteria.
How can these services help my child?
There is a strong emphasis on early intervention to prevent the onset or progression of behavioral health conditions and a need for long-term or more expensive services. These interventions will be delivered in the home, or in other local, community-based settings.
For additional information about the Children and Family Treatment and Support Services, please call MVP’s Customer Care Center at 1-800-852-7826, TTY 1-800-662-1220.
There are several helpful resources from New York State that are available to our members. A few are listed below.
Members are also invited to research advocacy web sites. Some of which are listed here.
National Alliance for the Mentally Ill
TTY: (703) 516-7227
Phone: (800)950-NAMI (Helpline)
National Center for Posttraumatic Stress Disorder
National Eating Disorders Associational
National Domestic Violence Hotline
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
National Institute of Mental Health
National Institute on Drug Abuse
National Suicide Prevention Lifeline
NYS Justice Center
Phone: (518) 549-0200
OPWDD Office for People With Developmental Disabilities
Phone: (518) 474-3625
OASAS Office of Alcoholism and Substance Abuse Services
Phone: (518) 473-3460
Adolescent Suicide Hotline
Phone: (800) 621-4000
AIDS National Hotline
Phone: (800) 232-4636
CHADD-Children & Adults with Attention Deficit/Hyperactivity Disorder
Phone: (800) 233-4050
Parent to Parent of New York State
New York State Department of Health
Resource Directory for Children with Special Health Care Needs
Get answers to everything from using your plan and understanding your benefits, to ordering prescriptions, and more.
Call 1-800-825-5687 or complete our contact form to reach the MVP Customer Care Center and get the guidance you need for you and your family.