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 |