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

Provider Policies

  • New York State Government Programs
  • MVP’s Medicare Advantage Plans
  • Quality Improvement

Payment Policies

  • Applied Behavior Analysis Services
  • Arthroscopic, Endoscopic, and other on Gastro Intestinal Scope Procedures
  • Audiology Services
  • Audio-Only (Vermont-Only)
  • Behavioral Health Non-Licensed Provider (Vermont Only)
  • Diagnosis Matching Edits
  • NDC Policy
  • Observation Status for Facility and Provider
  • Services Not Separately Reimbursed
  • Telehealth
  • Vaccine Administration (Vermont -Only)
  • Viscosupplementation of the Knee: Non-coverage for Medicaid Managed Care MMC Plans

MVP Process Updates

Review other articles in this issue regarding MVP process updates.