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.

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(Policies Effective January 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 3/1/2022
Inpatient and Outpatient Service Program Updated 10/1/2021
Pharmacy Benefits Updated 10/1/2021
Behavioral Health Updated 1/1/2023
New York State Government Programs Updated 1/1/2023
MVP’s Medicare Advantage Plans Updated 1/1/2022
Utilization Management Updated 1/1/2023
Claims Updated 1/1/2023
Quality Improvement Updated 1/1/2023
Appeals Process Updated 1/1/2023
National Vendors Updated 1/1/2022
Payment Policies Updated 1/1/2023

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