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• 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