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Provider FastFax


  • 2023

    1 Changes to Respite Telehealth Services Update 01/05/23


  • 2022

    1 New Pharmacy Electronic Prior Authorization Process 01/04/22
    2 Online Provider Demographic Information Review Request 01/07/22
    3 Prior Authorization and Concurrent Review for Post-Acute Care Services 01/11/22
    4 Community Oriented Recovery and Empowerment (CORE) Services 01/13/22
    5 Medicare Reimbursement of COVID-19 Vaccines and Antibody Treatment 01/14/22
    6 Children/Youth in Foster Care 01/24/22
    7 MVP Medicaid SGLT2 Coverage 01/31/22
    8 COVID-19 Vaccine Coding and Billing Reminder – Vermont Only 02/18/22
    9 Updated Contact Information for Durable Medical Equipment Requests 02/24/22
    10 Medical Policy Updates Effective April 1, 2022
    02/25/22
    11 Pharmacy Formulary Updates Effective April 1, 2022 02/25/22
    12 Pharmaceutical Policies Updates Effective April 1, 2022 02/25/22
    13 Updated New York State Regulations for Medicaid Opioid Dependence Agents and Opioid Antagonists 02/28/22
    14 KX Modifier Claims Processing 03/18/22
    15 Online Provider Demographic Information Review Request 04/01/22
    16 Claims Submission Update 04/04/22
    17 Pharmacy Formulary Updates Effective June 1, 2022 04/28/22
    18 Pharmaceutical Policies Updates Effective June 1, 2022
    04/28/22
    19 Medical Policy Updates Effective June 1, 2022 04/28/22
    20 Changes to Billing and Payment of Implantable Devices 05/04/22
    21 Virtual Care and COVID-19 Treatment Cost-Share Update 05/04/22
    22 Claims Submission Update 05/25/22
    23 Annual Review of Clinical Criteria 06/01/22
    24 Improving Medical Record Submissions to MVP For Quality Gaps in Care Processing 06/03/22
    25 Pharmacy Formulary Updates Effective August 1, 2022 06/28/22
    26 Pharmaceutical Policies Updates Effective August 1, 2022 06/28/22
    27 Medical Policy Updates Effective August 1, 2022 06/28/22
    28 Online Provider Demographic Information Review Request 07/06/22
    29 Claims Submission Update 07/07/22
    30 Claims Submission Update 07/07/22
    32 Execution of Clinical Criteria
    08/09/22
    33 BiPAP and CPAP Prior Authorization Updates 08/25/22
    34 Changes to MVP Payment Summaries 08/29/22
    35 Pharmacy Formulary Updates Effective October 1, 2022 08/30/22
    36 Pharmaceutical Policies Updates Effective October 1, 2022 08/30/22
    37 Medical Policy Updates Effective October 1, 2022 08/30/22
    38 Billing Changes for Dispensing Medication 09/21/22
    39 Online Provider Demographic Information Review Request 09/29/22
    40 Claims Submission Update 10/26/22
    41 Pharmaceutical Policies Updates Effective December 1, 2022 10/27/22
    42 Pharmacy Formulary Updates Effective December 1, 2022 10/27/22
    43 Medical Policy Updates Effective December 1, 2022 10/27/22
    44 Applied Behavioral Analysis (ABA) Government Program Benefit Update 11/08/22
    45 Dual Special Needs Program (D-SNP) ACTION REQUIRED: Complete Training 11/16/22
    46 Medical Policy Updates Effective January 1, 2023 11/23/22
    47 Pharmaceutical Policies Updates Effective January 1, 2023 11/23/22
    48 Pharmacy Formulary Updates Effective January 1, 2023 11/23/22
    49 MVP Health Care HMO Plans Awarded 5 Stars 11/29/22
    50 Expanded Services Available for Child Health Plus
    (CHP) Members Effective January 1, 2023
    12/16/22
    51 Expanded Services Available for Child Health Plus
    (CHP) Members Effective January 1, 2023
    12/16/22
    52 Buffalo Conversion Factor Table 12/20/22
    53 Rochester Conversion Factor Table 12/20/22
    54 Medical Policy Updates Effective February 1, 2023 12/21/22
    55 Pharmaceutical Policies Updates Effective February 1, 2023 12/21/22
    56 Pharmacy Formulary Updates Effective February 1, 2023 12/21/22
    57 Important Update For Medicare Part D Insulins and Vaccines 12/23/22
    58 Online Provider Demographic Information Review Request 12/29/22


  • 2021

    1A Utilization Management Changes Due to COVID-19, Effective December 23, 2020 through February 21, 2021 01/12/21
    2 COVID-19 Vaccine Reimbursement and Coding 01/11/21
    3 Important Developmental and Autism Screening Updates for Young Children 02/08/21
    4 Medical Policy Update: Applied Behavior Analysis (ABA) 02/15/21
    5 Medical Policy Updates Effective April 1, 2021 02/25/21
    6 Pharmaceutical Policies Updates Effective April 1, 2021 02/25/21
    7 Pharmacy Formulary Updates Effective April 1, 2021 02/25/21
    8 MVP to Resume All Utilization Management Prior Authorization and Concurrent Review Programs Effective March 1, 2021 02/26/21
    9 New Payment Policy: Robotic and Computer Assisted Surgery 03/01/21
    10 Update for Applied Behavior Analysis Indirect Services 03/12/21
    11 Medicaid Pharmacy Benefit Transitioning to New York State Medicaid Fee-for-Service 03/12/21
    12 Updated COVID-19 Vaccine Reimbursement and Coding – New York Only 03/18/21
    13 Updated COVID-19 Vaccine Reimbursement and Coding – Vermont Only 03/18/21
    14 Online Provider Demographic Information Review Request 03/26/21
    15 Evaluation and Management Payment Policy Update: Physician Diagnostic, Therapeutic and Preventive Injections 04/02/21
    16 COVID-19 Update – April 5, 2021 04/05/21
    17 Project TEACH Educational Webinar 04/08/21
    18 Transition of Children in Voluntary Foster Care Into Medicaid Managed Care 04/09/21
    19 Pharmacy Formulary Updates Effective June 1, 2021 04/29/21
    20 Pharmaceutical Policies Updates Effective June 1, 2021 04/29/21
    21 Medical Policy Updates Effective June 1, 2021 04/29/21
    22 Utilization Management Updates 04/30/21
    23 Medicaid Pharmacy Benefit Transition to New York State Medicaid Fee-for-Service Delayed 05/07/21
    24 Important Newborn Hearing Information 06/04/21
    25 Updates to Cost-Share (NY Only) 06/09/21
    26 Payment Policy Updates Effective September 15, 2021 06/16/21
    27 Online Provider Demographic Information Review Request 06/24/21
    28 Annual Review of Clinical Criteria 06/25/21
    29 Voluntary Foster Care: Medication Transition 06/29/21
    30 Virtual Care and COVID-19 Treatment Cost-Share Update
    07/02/21
    31 Billing Procedure Code Change for Diabetic Supplies – Vermont Only
    07/07/21
    32 Pharmaceutical Policies Updates Effective September 1, 2021
    07/19/21
    33 Pharmacy Formulary Updates Effective September 1, 2021
    07/19/21
    34 Medical Policy Updates Effective August 1, 2021
    07/19/21
    35 New York State Medication-Assisted Treatment Formulary Change
    07/27/21
    36 Applied Behavior Analysis for Medicaid Managed Care Plans
    08/26/21
    37 Prior Authorization Change for Tufts Health Plan Members
    08/26/21
    38 Pharmaceutical Policy Updates Effective October 1, 2021
    08/27/21
    39 Pharmacy Formulary Updates Effective October 1, 2021
    08/27/21
    40 Medical Policy Updates Effective October 1, 2021
    08/27/21
    41 Applied Behavior Analysis for Medicaid Managed Care Plans
    08/31/21
    42 Execution of Clinical Criteria
    09/23/21
    43 MVP Scheduled System Downtime
    09/24/21
    44 Online Provider Demographic Information Review Request
    10/01/21
    45 Update to Applied Behavior Analysis Services
    10/05/21
    46 Regarding Certification for Utilization Pause for Prior Authorization and Concurrent Review, Acute Care and Post Acute Care Services 10/13/21
    47 MVP is Requesting Main Group Contact Information 10/18/21
    48 Pharmaceutical Policies Updates Effective December 1, 2021 10/28/21
    49 Pharmacy Formulary Updates Effective December 1, 2021 10/28/21
    50 Medical Policy Updates Effective December 1, 2021 10/28/21
    51 MVP Health Care Announces New UVM Health Advantage Plans 11/01/21
    52 New Pharmacy Electronic Prior Authorization Process
    to Launch in December
    11/08/21
    53 Pharmaceutical Policies Updates Effective January 1, 2022
    11/29/21
    54 Pharmacy Formulary Updates Effective January 1, 2022
    11/29/21
    55 Radiology Prior Authorization Updates
    11/30/21
    56 Buffalo Conversion Factor Table
    12/01/21
    57 Rochester Conversion Factor Table
    12/01/21
    58 Improving Medical Record Transmission 12/03/21
    59 New Pharmacy Electronic Prior Authorization Process Now Available 12/06/21
    60 Pharmacy Formulary Updates Effective February 1, 2022 12/16/21
    61 Pharmaceutical Policies Updates Effective February 1, 2022 12/16/21
    62 Medical Policy Updates Effective February 1, 2022 12/16/21
    63 Notifying MVP Health Care of New Tax Identification Numbers (TIN) 12/22/21
    64 Audio-Only Coding and Reimbursement Updates for Vermont Providers 12/29/21
    65 Prior Authorization Updates for Durable Medical Equipment (DME) 12/30/21


  • 2020

    1 IVF Pharmacy Policy Updates Effective 01/01/20
    2 Clinical Guidelines for HIV Pre-Exposure Prophylaxis 01/31/20
    3 Pharmacy Formulary Updates Effective 1/1/2020 01/31/20
    4 Services Not Separately Reimbursed 01/31/20
    5 Epidural Limitations 01/31/20
    6 Coronavirus Update (as of 2/6/20) 02/06/20
    7 Payment Policy Updates Effective 1/1/2020 02/28/20
    8 Influenca Testing Reimbursement 02/18/20
    9 Medical Policy Updates Effective 4/1/2020 02/24/20
    10 Pharmacy Policy Updates Effective 4/1/2020 02/24/20
    11 Formulary Updates Effective 4/1/2020 02/24/20
    12 HPV Vaccinations 03/04/20
    14 Coronavirus Disease 2019 (COVID-19) Update 03/09/20
    15 Coding of COVID-19 Update 03/13/20
    16 Change in Behavioral Health Prior Authorization Requirements 03/17/20
    17 MVP Health Care Launches myERnow, Virtual ER Telemedicine Service 03/18/20
    18 Telemedicine Updates 03/18/20
    19 COVID-19 Update (as of 3/19/2020) 03/19/20
    20 Claims Status Process 03/20/20
    21 COVID-19 Update (as of 3/20/2020) 03/20/20
    22 COVID-19 Updates for Physical Therapists, Occupational Therapists, and Speech Therapists (as of 3/20/2020) 03/20/20
    23 COVID-19 Utilization Management Updates (as of 3/24/2020) 03/24/20
    24 COVID-19 Update (as of 3/27/2020) 03/27/20
    25 COVID-19 Medicare Update (as of 3/27/2020) 03/27/20
    26 COVID-19 Vermont Update (as of 3/30/2020) 03/30/20
    27 Online Provider Demographic Information Review Request 03/31/20
    28 COVID-19 Update (as of 4/8/2020) 04/08/20
    29 Utilization Management Changes Due to COVID-19 04/09/20
    30 MVP Introduces New Online Provider Search Tool 04/13/20
    31 Pharmacy Formulary Updates Effective June 1, 2020 04/21/20
    32 Pharmaceutical Policy Updates Effective June 1, 2020 04/21/20
    33 Medical Policy Updates Effective June 1, 2020 04/21/20
    34 Colorectal Screening for MVP Vermont Commercial Members 04/23/20
    35 Durable Medical Equipment (DME) Prior Authorization Updates 04/24/20
    36NY New York COVID-19 Update as of May 7, 2020 05/07/20
    36VT Vermont COVID-19 Update as of May 7, 2020 05/07/20
    37 Claims Status Update (as of 5/21/20) 05/21/20
    38 Annual Review of Clinical Criteria 05/29/20
    39 Diagnosis Matching Edits Policy Update (as of 5/29/20) 05/29/20
    40.1 Elective Procedures Prior Authorization Requirement Update (as of 6/2/20) 06/02/20
    41 Children’s Uniform Clinical Network Provider Training 06/03/20
    42 Provider Service Upgrades Interactive Voice Response (IVR) System 06/18/20
    43 COVID-19 Update – Behavioral Health Cost-Share (as of 6/15/20) 06/15/20
    44 Acute Care and Post-Acute Care Services Update (as of 6/16/20) 06/16/20
    45 Pharmacy Formulary updates effective August 1, 2020 06/25/20
    46 Pharmaceutical Policy updates effective August 1, 2020 06/25/20
    47 Default Pricing Change for Reimbursement effective October 1, 2020 06/30/20
    48 Medical Policy updates effective August 1, 2020 06/25/20
    49 Online Provider Demographic Information Review Request 06/29/20
    50 COVID-19 Update as of July 2, 2020 07/02/20
    51 Scheduled System Downtime 07/09/20
    52 Payment Policy Updates as of July 15, 2020 07/15/20
    53 System Downtime Scheduled for July 17, 2020 Postponed 07/15/20
    54 Behavioral Health Services Update: Utilization Management Changes Effective August 19, 2020 07/20/20
    55 Execution of Clinical Criteria Effective August 1, 2020 07/22/20
    56 Pharmacy Formulary Updates Effective September 1, 2020 07/30/20
    57 Pharmaceutical Policies Updates Effective September 1, 2020 07/30/20
    58 System Upgrade with Scheduled Downtime August 20, 2020 08/20/20
    59 Closing Gaps-In-Care Utilizing Telemedicine Services 08/21/20
    62 Reduce the Burden of Gaps in Care Reporting 09/02/20
    63 Medical Policy Updates Effective October 1, 2020 09/03/20
    64 COVID-19 Update – September 4, 2020 09/04/20
    65 Personal Protective Equipment Update (as of 9/9/20) 09/09/20
    66 Atrial Fibrillation Ablation, Catheter-Based Medical Policy 09/29/20
    68 Arthroscopic, Endoscopic, and other Non-Endoscopic Scope Procedures Payment Policy 10/01/20
    69 Pharmacy Formulary Updates Effective December 1, 2020 10/28/20
    70 Pharmaceutical Policies Updates Effective December 1, 2020
    10/28/20
    71 Medical Policy Updates Effective December 1, 2020
    10/28/20
    72 Clinical Guidelines for HIV Pre-Exposure Prophylaxis
    10/28/20
    73 COVID-19 Testing Update – November 11, 2020
    11/11/20
    74 Multiple Procedure Reduction on the Technical Component of Diagnostic Cardiovascular and Ophthalmology Procedures Payment Policy
    11/05/20
    75 New York State Delays Medication-Assisted Treatment Formulary Change 11/12/20
    76 Change to Pharmacy Networks 11/19/20
    77 Medical Policy Update Effective January 1, 2021 11/24/20
    78 Pharmaceutical Policies Updates Effective January 1, 2021 11/24/20
    79 Pharmacy Formulary Updates Effective January 1, 2021 11/24/20
    80 Important Changes from MVP Health Care® (MVP) Regarding Prior Authorization for High Tech Radiology 11/30/20
    81 MVP Health Care® (MVP) Rochester Conversion Factor Table Effective as of January 1, 2021 Date of Service 12/01/20
    82 MVP Health Care® (MVP) Buffalo Conversion Factor Table Effective as of January 1, 2021 Date of Service 12/01/20
    83 New naviHealth Home Health Approval Processes 12/07/20
    84 Retrieval of Medical Records from Third-Party Vendors 12/08/20
    85 MVP Prior Authorization for Musculoskeletal Surgery Updates 12/18/20
    86 MVP Prior Authorization for Radiology Updates 12/18/20
    87 Skilled Nursing Home Utilization Management Changes Due to COVID-19 12/21/20
    88 Actions to take for MVP Health Care® (MVP) Medicare Members 12/22/20
    89 Pharmacy Formulary Updates Effective February 1, 2021 12/23/20
    90 Pharmaceutical Policies Updates Effective February 1, 2021 12/23/20
    91 MVP Health Care Code of Ethics and Business Conduct Summary 12/28/20
    92 Online Provider Demographic Information Review Request 12/30/20

     


  • 2019

    1 New Medicare Opiate Edits for 2019 01/02/19
    2 Help Us Fight the Opioid Epidemic 01/03/19
    3 MVP Health Care expands its collaboration with Vital Decisions 01/30/19
    4 Provide Opioid Feedback Before 2/22 Deadline 02/08/19
    5 Pharmaceutical policies available 02/21/20
    6 Pharmacy Formulary Updates effective 4/1/2019 02/26/19
    7 Required Authorizations for Radiology Services 02/27/19
    8 naviHealth Peer-To-Peer Process Enhancements 03/12/19
    9 Medical Policies available 03/13/19
    10 Centers for Medicare & Medicaid Services (CMS) Health Outcome Surveys 03/14/19
    11 Online Provider Demographic Information Review Request 03/28/19
    12 Pharmaceutical Policies Available 04/25/19
    13 Pharmacy Formulary Updates Effective 6/1/2019 04/26/19
    14 Nationally Renowned Pediatric Oncologist Joins MVP Health Care 04/29/19
    15 Payment Policy Updates Effective June 1, 2019 04/30/19
    16 Medical Policies available for Providers 05/01/19
    17 Annual Review of Clinical Criteria 05/02/19
    18 Medicare Advantage Plans Introduce Condition Specific Benefits 05/29/19
    19 Payment Policy Updates: Services Not Reimbursed 05/30/19
    21 MVP Health Care Announces Next CEO, Christopher Del Vecchio 06/12/19
    22 Pharmacy Formulary Updates Effective 8/1/2019 06/19/19
    23 Children and Family Treatment and Support Services Available as of July 1, 2019 06/20/19
    24 Pharmaceutical Policies Available 06/21/19
    25 Online Provider Demographic Information Review Request 06/25/19
    26 Ongoing Measles Outbreak and Opioid Update 06/27/19
    27 MVP Payment Policy Update: After-Hours Services 07/09/19
    28 MVP Health Care to Transform Care Delivery Through New Integrated Health Initiative 07/10/19
    29 Execution of Clinical Criteria 07/12/19
    30 MVP Website Security Update, Provider Online Access 07/15/19
    31 Pharmaceutical Policies Available 07/23/19
    32 Pharmacy Formulary Updates Effective 9/1/2019 07/24/19
    33 After-Hours Services Policy Clarification/Newsletter Update 07/29/19
    34 Pharmacy Formulary Updates Effective 10/1/2019 08/19/19
    35 Pharmaceutical Policies Available 08/20/19
    36 Children’s Home and Community Based Services 08/30/19
    37 Medical Policies Available 09/04/19
    38 Important Lead Screening Updates for Young Children 09/11/19
    43 Payment Policy Clarification: Services Not Reimbursed 09/24/19
    39 Online Provider Demographic Information Review Request 09/24/19
    40 Global Edit Updates 09/26/19
    42 Medicaid Managed Care: Infertility Benefits Update 09/27/19
    41 Important Developmental Screening Updates for Young Children 09/27/19
    44 Updated HPV Vaccination Recommendations for U.S. Adults 10/16/19
    46 Pharmaceutical Policies Available 10/22/19
    45 Pharmacy Formulary Updates Effective 12/1/2019 10/22/19
    50 IVF Pharmacy Policy Updates Effective 01/01/2020 11/18/19
    49 Pharmaceutical Policies Available 11/18/19
    48 Pharmacy Formulary Updates Effective 1/1/2020 11/18/19
    51 Important Newborn Hearing Information 11/26/19
    52 New Medicaid Managed Care Benefits 11/27/19
    56 New for 2020: Free Meal Delivery After Inpatient Hospitalization 12/09/19
    55 Pharmacy Tips and Best Practices 12/09/19
    58 Pharmacy Formulary Updates 12/23/19
    57 Pharmaceutical Policies Available 12/23/19
    60 Pediatric Lead Testing Program 12/24/19
    59 Online Provider Demographic Information Review Request 12/24/19
    62 MVP Health Care Code of Ethics and Business Conduct Summary 12/31/19

     


  • 2018

    1 Pharmaceutical Policies Available 01/05/18
    2 CMS Medicare Benefits and Beneficiary Protections 01/10/18
    3 1/1/18 Insulin Changes 01/10/18
    5 MVP Health Care Musculoskeletal Management Program Provider Education Webinars 01/17/18
    6 Improving Perinatal Care for Medicaid Members 01/18/18
    7 Musculoskeletal Management Program 02/15/18
    8 CMS Medicare Benefits and Beneficiary Protections 02/16/18
    9 Pharm Policies Available 03/01/18
    10 Pharm Formulary Updates 03/02/18
    12 CMS Medicare Benefits and Beneficiary Protections 03/16/18
    11 Musculoskeletal Management Program 03/16/18
    13 Online Provider Demographic Information Review Request 03/29/18
    14 CMS Medicare Benefits and Beneficiary Protections 04/13/18
    15 Annual Review of Clinical Criteria 04/27/18
    16 Pharm Policies Available 04/30/18
    17 Pharm Formulary Updates 05/01/18
    18 Online Provider Change of Information Form Available May 15 05/07/18
    19 MVP Gaps in Care Reports (CNY); MVP Gaps in Care Reports (all others) 05/08/18
    21 CMS Medicare Benefits and Beneficiary Protections 05/23/18
    20 Surgical Supplies Reimbursement Policy Updates 05/31/18
    22 CMS Medicare Benefits and Beneficiary Protections 06/14/18
    23 Notice of discontinue of provider bonus incentives 06/15/18
    24 Online Provider Change of Information Form – Required for Use July 1, 2018 06/25/18
    25 Online Provider Demographic Information Review Request 06/26/18
    26 Change in Prior Authorization Facility Based Sleep Studies Effective October 1, 2018 06/28/18
    27 Execution of Clinical Criteria 06/29/18
    28 Vermont TeleHealth Billing and Reimbursement 07/02/18
    29 CMS Medicare Benefits and Beneficiary Protections 07/06/18
    30 Updated Provider Change and Patient Reassignment Request Form Now Available 08/09/18
    31 Pharmacy Policy Updates 08/20/18
    32 Pharmacy Formulary Updates, effective 8/1/18 08/16/18
    33 Urgent Care Payment Policy 08/30/18
    34 CMS Medicare Benefits and Beneficiary Protections 09/17/18
    35 Pharmacy Formulary Updates, effective 9/1/18 09/20/18
    36 MVP Health Care, Inc. Code of Ethics and Business Conduct Summary 09/21/18
    37 Online Provider Demographic Information Review Request 09/25/18
    39 Pharmaceutical policy updates available 09/25/18
    40 Correction to Payment Policy Updates ? Effective 1/1/19 09/30/18
    41 Musculoskeletal Management Program 09/28/18
    42 Pharmacy Formulary Updates Effective 11/1/2018 10/29/18
    43 Pharmaceutical Policies available for providers 10/30/18
    44 Office Consultation for Screening Colonoscopy 11/01/18
    46 Medical Policy updates available 11/06/18
    47 Diagnosis Matching Edits Policy Update 11/15/18
    48 New Children and Family Treatment and Support Services (CFTSS) Available Starting January 1, 2019 11/29/18
    49 Pharmaceutical Policy Updates 12/04/18
    50 Pharmacy Formulary Updates Effective 12/1/2018 12/05/18
    52 Pharmacy Formulary Updates Effective 1/1/19 12/21/18
    53 Pharmaceutical Policies available for Providers 12/20/18
    54 Credentialing Update for MVP Providers 12/26/18
    55 Online Provider Demographic Information Review Request 12/28/18


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