MVP’s Provider Resource Manual (PRM) includes revisions on operational procedures, plan type offerings, and clinical programs. The manual is 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 providers. In turn, this will help ensure that patients’ needs are met within the health care coverage provided by their MVP Health Benefits contract.


Effective October 1, 2019

Contacting MVP Health Care Updated 7/1/2019
MVP Plan Type Information Updated 1/1/2019
Credentialing Updated 10/1/2019
Provider Responsibilities Updated 10/1/2019
Inpatient and Outpatient Service Program Updated 3/1/2019
Pharmacy Benefits Updated 10/1/2019
Behavioral Health Updated 10/1/2019
New York State Government Programs Updated 10/1/2019
MVP’s Medicare Advantage Plans Updated 1/1/2019
Utilization Management Updated 1/1/2019
Claims Updated 7/1/2019
Quality Improvement Updated 10/1/2019
Appeals Process Updated 10/1/2018
National Vendors Updated 4/1/2019
Payment Policies Updated 10/1/2019


Note: The PRM is most compatible with the Chrome browser. Learn how to view pdf files in your browser.