For Providers Treating MVP Health Care Members
Nurse Practitioners, Physician Assistants, Special Assistants, and Certified Registered Nurse Anesthetists
During the State of Emergency:
- Nurse practitioners will be able to practice without a written practice agreement or collaborative relationship with a doctor or hospital
- Physician assistants and specialist assistants can provide medical services without oversight from a supervising physician
- Certified registered nurse anesthetists are permitted to administer anesthesia without the supervision of a physician
Physical Therapists, Occupational Therapists, and Speech Therapists
Physical therapists (PT), occupational therapists (OT), and speech therapists (ST) may render telemedicine services to MVP commercial and Medicaid Members in New York and Vermont. Certified Athletic Trainers may render telemedicine services to commercial Members in Vermont.
During the declared State of Emergency, MVP will reimburse for PT, OT, and ST services for initial and subsequent visits for new and existing patients. PT, OT, and ST Providers may not perform telemedicine visits telephonically. Providers should only bill within their scope of practice and should not bill for physical manipulation if they are not physically manipulating the patient. All visits will count toward a Members’ annual allotment of visits.
Claims submitted with standard CPT codes and the appropriate place of service will be paid with no cost-share for Medicaid and Commercial Members. In addition, either modifier 95 or GT should be appended to the claim as appropriate.
Personal Protective Equipment (PPE)
The New York State Department of Financial Services (DFS) recently released a Circular Letter reminding health plans that New York State Participating Providers cannot charge patients additional fees, beyond their standard cost-share for covered services, for personal protective equipment (PPE). If your practice charged Non-Medicare MVP Members for PPE, you must fill out the PPE Survey.