MVP Health Care has developed many educational resources to help keep our providers informed and ensure a successful partnership. If you have any questions about these resources, please contact your Professional Relations representative.

Operational Resources

• Provider Online Account

  • A Guide to Your MVP Health Care Online Provider Account (PDF)
  • Registering for an Online Account (Video)
     
    

  
  

• Provider Network and Demographics

  • Complete Provider Change of Information Form
  • Online Demographic Change Forms (Video)
     
    
  • Search for In-Network Providers
  • How to Search for In-Network Providers (PDF)
  • How to Update Provider Demographics (PDF)

  
  

• Eligibility and Benefits

  • How to Use MVP Member ID Card Guide (PDF)
  • How to View Member Eligibility and Benefits (PDF)
  • How to Determine Eligibility and Benefits (Video)

  
  

• Authorizations

  • Access Prior Authorization Forms
  • How to View Prior Authorizations (PDF)
  • How To View Authorization Status

  
  

• Claims and Electronic Remittance Advice

  • Claims Submission and Electronic Data Guide (PDF)
  • How to Submit Claims, Electronic Data Interchange, Claims Payments, and Electronic Fund Transfers (PDF)
  • How To View Claim Status

  • Connect MVP with your Electronic Medical Records (EMR) (PDF)
  • Electronic Funds Transfer and Remittance Advice (EFT/ERA) (PDF)
  • Access Additional EDI Information and Guides
  • Online Claim Submissions
    Providers may create and submit medical and behavioral health claims online to MVP by accessing mvphealthcare.transshuttle.axiom-systems.com. This website is hosted and powered by AXIOM and the services available therein are offered by AXIOM to providers on behalf of MVP Health Care. AXIOM may require that users agree to AXIOM’s site requirements and certain terms of use before accessing AXIOM’s services. Please note an NPI is required in order to setup an account.

  
  

Clinical Education

• Support for Children and Adults

  • Children’s Uniform Clinical Network Provider Training (PDF)
  • Children and Family Treatment and Support Service (CFTSS) Overview (PDF)
  • CFTSS: Family Peer Support Services (FPSS) (PDF)
  • CFTSS: Crisis Intervention (CI) and Youth Peer Support and Training (YPST) (PDF)
  • Children’s Transition Overview: Part 1 (PDF)
  • Children’s Transition Overview: Part 2 (PDF)
  • The Health Home Model (PDF)
  • Reporting and Monitoring Requirements (PDF)
  • Importance of Families and Understanding How to Assist Families/Caregivers to Access Services (PDF)
  • Understanding the Interaction of Child Serving Systems and Navigating Coordinating Systems of Care (PDF)
  • Overview of Children’s Evidence Based Practices (EBPs) (PDF)
  • Integrating Trauma Informed Care and Resilience Informed Practices (PDF)
  • Family Psychoeducation (PDF)
  • First Episode Psychosis (PDF)

  
  

• Dual Special Needs Program (D-SNP)

  Effective January 1, 2022, MVP will offer a new D-SNP plan for enrolled individuals dually eligible for Medicare and Medicaid in the Capital District and Hudson Valley. CMS requires Providers who care for patients in D-SNP plans to complete a training. Access the training here.

  
  

• Voluntary Foster Care Agency (VFCA)

  New York State requires Providers to take training related to VFCA. The training is self-directed, but MVP Provider Relations representatives will be happy to assist or answer any questions.

  All Providers are required to verify they have completed at least one (1) of the following trainings.

  1. MVP Providers who are not eligible for Article 29-I licensure should complete the MVP Medicaid Children’s Foster Care Training for Providers.
  2. MVP Providers who are requesting the new Article 29-I licensure should complete the MVP Medicaid Children’s Foster Care Training for Foster Care Agencies.

  Children in Voluntary Foster Care Notice – 1/20/22

  
  

• Support for Primary Care Providers

  OnTrackNY

  OnTrackNY is an innovative treatment program for adolescents and young adults who have had unusual thoughts and behaviors, or who have started hearing or seeing things that others don’t. This may mean psychotic symptoms (such as hallucinations), unusual thoughts or beliefs, or disorganized thinking. OnTrackNY is for people who have experienced these symptoms for more than one week, but less than two years.

  OnTrackNY helps people achieve their goals for school, work, and relationships. It utilizes a shared decision making model and involves:

  • Comprehensive treatment using evidence-based practices
  • An integrated clinical team specializing in early psychosis
  • Psychiatric treatment
  • Employment and educational support
  • Substance abuse treatment, and family education and support
  • CBT-informed individual psychotherapy
  • Other services as needed

  Resources are available to providers, and programs are located throughout New York State and available to NYS residents.

  For more information, including how to make a referral, visit OnTrackNY’s Website.

   
  Project TEACH

  Project TEACH aims to strengthen and support the ability of New York’s PCPs to deliver care to children and families who experience mild-to-moderate mental health concerns, including anxiety, depression, and ADHD, in children, adolescents, and young adults up to 22 years of age. It is funded by the New York State Office of Mental Health.

  Project TEACH offers, at no cost:

  • Consultations PCPs can speak on the phone with child and adolescent psychiatrists to ask questions, discuss concerns, or review treatment options. If indicated, they can also get a face-to-face evaluation.
  • Referrals Linkages and referral services help PCPs and families access community mental health treatment and support services.
  • Training Free CME-certified education and training offered in several different formats relevant to mental health in primary care.

  All pediatric PCPs in NYS, including pediatricians, family physicians, psychiatrists, nurse practitioners, and other prescribers, are eligible to receive Project TEACH services at no cost. Additionally, other mental health professionals who provide ongoing treatment to children, such as child and adolescent psychiatrists, general psychiatrists, and psychiatric nurse practitioners, may request a second opinion through consultations. Maternal mental health consultations, education, resources, linkages, and referrals to address maternal depression and related mood disorders and anxiety are also available.

  Learn more on the Project TEACH website.

  Project TEACH Flyer

  Project TEACH Parent and Family Education Card
  
  Maternal Mental Health Initiative Flyer

  
  

• Integrated Primary and Behavioral Health

  • Integrating Primary and Behavioral Health Services Part 1 (PDF)
  • Integrating Primary and Behavioral Health Services Part 2 (PDF)
  • Center for Practice Innovations (CPI) Resources
  • Uniform Clinical Network Provider Trainings and Resources
  • To enroll and view CPI resources, visit practiceinnovations.org and click “Enrollment form for Network provider training”

  
  

• Home and Community Based Services (HCBS)

  • Understanding Home and Community Based Services (HCBS) Part 1 (PDF)
  • Understanding Home and Community Based Services (HCBS) Part 2 (PDF)
  • Children’s Aligned Home and Community Based Services (HCBS) (PDF)

  
  

• Diversity and Cultural Competency

  Cultural and Linguistic Competency

  MVP is committed to ensuring services are provided to our members in a culturally competent manner. Health care cultural and linguistic competency is the ability of providers to understand the social, ethnic, religious, and linguistic characteristics of a population and use this understanding to improve the quality of care providers deliver. Regulations prohibit MVP and its contracted providers from discrimination based on health status. To ensure our members are treated with dignity and respect, and that their cultural needs are considered, MVP providers may access e-learning offered by the Uniform Network Provider Training Services free of charge. Training is required by participating Providers serving our government program members and encouraged for all others.

  1. OASAS Cultural Competency Training
  2. Uniform Network Provider Training modules, accessible through The Center for Practice Innovations (CPI) Resources
     • Network Provider Training Part 1: Cultural Competence
     • Network Provider Training Part 2.1: Using the Cultural Formulation Interview
  3. Cultural Competence (PDF)

  
  

• Special Populations

  • Special Population: Children 0-5 years old (PDF)
  • Special Population: Transition Age Youth (TAY) (PDF)
  • Special Population: Children with Intellectual and other Developmental Disabilities (I/DD) (PDF)

  
  

• HARP

  • NYS HARP Adult Behavioral Health Home and Community Based Services (BH HCBS) Provider Manual (PDF)
  • Center for Practice Innovations (CPI) Resources
  • Uniform Clinical Network Provider Trainings and Resources
  • To enroll and view CPI resources, visit practiceinnovations.org and click “Enrollment form for Network provider training”

  
  

• Evidence-Based Practices Training

  • Center for Practice Innovations (CPI) Resources
  • Uniform Clinical Network Provider Trainings and Resources
  • To enroll and view CPI resources, visit practiceinnovations.org and click “Enrollment form for Network provider training”

  
  

• Substance Use Disorders

  • Center for Practice Innovations (CPI) Resources
  • Uniform Clinical Network Provider Trainings and Resources
  • To enroll and view CPI resources, visit practiceinnovations.org and click “Enrollment form for Network provider training”
  • Notifications for Inpatient Treatment of Substance Use Disorders (PDF)
  • Notifications for Inpatient Treatment for Children under the age of 18 years (PDF)

  
  

• Clinical Guidelines

  • To view all of MVP’s Clinical Guidelines, please visit the Quality Programs Page.