Published April 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 April 1, 2024, and are posted here.

MVP Provider Policies

  • Appeals
  • Behavioral Health
  • Contacting MVP
  • Credentialing
  • Provider Responsibilities

MVP Payment Policies

  • After Hours
  • Allergy Testing and Serum Preparation Claims
  • Arthroscopic, Endoscopic, and other Non Gastro Intestinal Scope Procedures
  • Audiology Services
  • Consistency of Denials
  • Default Pricing
  • Durable Medical Equipment
  • Evaluation and Management
  • Interpreter Services
  • JW and JZ Modifiers
  • Laboratory Services
  • Mental Health and Substance Use Disorder
  • Mid-Level Payment Policy
  • Modifier Policy for Physician
  • Multiple Surgery – VT Facilities Only
  • NDC Policy
  • Nurse Practitioner (NP)/Physician Assistant (PA)/Clinical Nurse Specialists (CNS) Billing in a Skilled Nursing Facility, Nursing Facility, Inpatient Setting
  • Occupational Therapy (OT)
  • Preventive Health Care
  • Radiology
  • Speech Therapy (ST)
  • Telehealth
  • Transitional Care Management