Provider Policies and Payment Policies

 MVP Provider Policies and Payment Policies 

Policies and Payment Policies 

MVP Provider Policies and Payment Policies includes revisions on operational procedures, plan type offerings, and clinical programs. The policies are designed to serve as a reference tool for Providers and facilities. Its purpose is to enhance and reinforce the understanding of the roles and responsibilities of MVP Participating Providers. In turn, this will help ensure that patients’ needs are met within the health care coverage provided by their MVP Health Benefits contract.

Current Provider and Payment Policies 

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Provider Policies, Effective April 1, 2023 (PDF)
Payment Policies, Effective April 1, 2023 (PDF)

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(Policies effective April 1, 2023)

Contacting MVP Health Care
Updated 3/1/2022
MVP Plan Type Information
Updated 1/1/2023
Credentialing Updated 1/1/2023
Provider Responsibilities
Updated 4/1/2023
Inpatient and Outpatient Service Program
Updated 10/1/2021
Pharmacy Benefits
Updated 4/1/2023
Behavioral Health
Updated 1/1/2022
New York State Government Programs
Updated 4/1/2023
MVP’s Medicare Advantage Plans
Updated 1/1/2022
Utilization Management Updated 1/1/2022
Claims
Updated 1/1/2022
Quality Improvement
Updated 1/1/2022
Appeals Process
Updated 4/1/2023
National Vendors
Updated 1/1/2022
Payment Policies 
Updated 5/11/2023