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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.

Additional Resources

  • 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
    • Immunizations
    • 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.

    2017 Formularies

    2016 Formularies

    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.

    Refill Online

    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)
    Partial Hospitalization
    Psychiatric Services
    Psychological Services
    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.

    CFTSS includes:

    • 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
    Phone: (703)524-7600
    TTY: (703) 516-7227
    Phone: (800)950-NAMI (Helpline)

    National Center for Posttraumatic Stress Disorder

    National Eating Disorders Associational
    Phone:  (800)931-2237

    National Domestic Violence Hotline
    Phone:  (800)799-SAFE
    TTY:  (800)787-3224

    National Institute on Alcohol Abuse and Alcoholism (NIAAA)
    Phone:  (301)443-3860

    National Institute of Mental Health
    Phone:  (866)615-6464
    TTY:  (866)415-8051

    National Institute on Drug Abuse
    Phone:  (301)433-1124

    National Suicide Prevention Lifeline
    Phone:  (800)273-TALK
    TTY:  (800)799-4889

    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
    Phone:  (800)305-8817

    New York State Department of Health
    Resource Directory for Children with Special Health Care Needs

Member FAQs

Get answers to everything from using your plan and understanding your benefits, to ordering prescriptions, and more.

Need help?

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.