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 July 1, 2020

Contacting MVP Health Care Updated 1/1/2020
MVP Plan Type Information Updated 1/1/2020
Credentialing Updated 4/1/2020
Provider Responsibilities Updated 7/1/2020
Inpatient and Outpatient Service Program Updated 1/1/2020
Pharmacy Benefits Updated 4/1/2020
Behavioral Health Updated 4/1/2020
New York State Government Programs Updated 1/1/2020
MVP’s Medicare Advantage Plans Updated 1/1/2020
Utilization Management Updated 7/1/2020
Claims Updated 7/1/2020
Quality Improvement Updated 4/1/2020
Appeals Process Updated 10/1/2018
National Vendors Updated 4/1/2020
Payment Policies Updated 7/1/2020

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