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.