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, 2021

Contacting MVP Health Care Updated 1/1/2020
MVP Plan Type Information Updated 1/1/2021
Credentialing Updated 10/1/2021
Provider Responsibilities Updated 10/1/2021
Inpatient and Outpatient Service Program Updated 10/1/2021
Pharmacy Benefits Updated 10/1/2021
Behavioral Health Updated 7/1/2021
New York State Government Programs Updated 10/1/2021
MVP’s Medicare Advantage Plans Updated 4/1/2021
Utilization Management Updated 7/1/2021
Claims Updated 7/1/2020
Quality Improvement Updated 4/1/2021
Appeals Process Updated 10/1/2021
National Vendors Updated 4/1/2020
Payment Policies Updated 10/1/2021

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