Welcome to Integrated Health with MVP.

MVP is now welcoming behavioral health practitioners to our network of provider partners. Our Integrated Health initiative (PDF) is designed to enable behavioral health and primary care to succeed at integrating patient care, enabling them to support an individual’s journey to better health and optimal living.

By joining MVP, you’re helping to end the fragmented care delivery system that has kept behavioral health and medical care apart.

Join Our Network

STEP 1

All practitioners who require credentialing must complete the online Coalition for Affordable Quality Health Care (CAQH) Universal Credentialing Application®. To get started, please complete or update your CAQH online application. Be sure that you have listed MVP as an authorized plan. For assistance with completion of the CAQH application, please contact the CAQH Help Desk at 1-888-599-1771 or email your question to caqh.updhelp@acsqs.com.

STEP 2

Review the Provider Participation Guide for information on initiating and retaining participation with MVP.

Credentialing Criteria

All practitioners are required to meet the minimum criteria for their specialty. View General Credentialing Criteria  (PDF). Email credentialing@mvphealthcare.com with any questions.

STEP 3

Complete and return the following applicable documents:

  1. Provider Credentialing Application Request (PDF)
  2. Supplemental Provider Credentialing Application (PDF)
  3. Practitioner Continuity of Care Statement (PDF)
  4. Federal Tax W-9 (PDF)

 

Additional Credentialing Information

  • Who needs to be credentialed?

    Behavioral health practitioners who currently are not credentialed with Beacon Health Options and would like to join the MVP network of providers effective January 1, 2020, pending regulatory approval.


  • When does the credentialing process begin and when is it complete?

    The credentialing process will not be started until MVP has been given access to a complete CAQH application (including current documentation of adequate malpractice insurance, current licensure etc.) and the applicant has returned a signed contract (if applicable). Once the application has been determined to be complete, the Credentialing Staff will begin primary source verification of education, licensure, training etc. as per state and federal regulations. As of January 1, 2019, MVP has partnered with Med Advantage/Advantum Health. Med Advantage may contact providers directly during the credentialing and recredentialing process to obtain any necessary information to complete the application process.

    The process is completed when all elements required by state and federal law have been verified and all required queries are complete. At that time, the application and verification will be presented to the MVP Credentials Committee for review and decision regarding participation.

    Important: Credentialing applicants are not authorized to provide services to MVP members until they have been reviewed and approved for participation by the MVP Credentials Committee. Practitioner effective dates will not be made retroactive prior to the Credentials Committee approval date.


  • Provider Credentialing Rights

    Provider Credentialing Rights (PDF)


  • Provisional Credentialing of New York State Physicians

    Provisional Credentialing of New York State Physicians (PDF)


Resources for Behavioral Health Providers

MVP’s Provider Quality Improvement Manual (PQIM) contains helpful information including clinical guidelines, supporting tools for clinicians, and useful information for patients.

In the News

  • • Health Beat: New Mental Health Program, News Channel 13
  • • MVP Health Care investing $6 million, hiring 80 people to bring mental health care in-house, Albany Business Review
  • • MVP brings mental health, addiction services in-house, Times Union
  • • MVP Health Care to administer behavioral-health services, Business Journal News Network
  • • MVP Health Care to directly administer behavioral health services in 2020, NNY 360