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.

• Provider Policies, Effective April 1, 2022 (PDF)
• Payment Policies, Effective April 1, 2022 (PDF)

Quick Navigation (Policies Effective January 1, 2022)
Contacting MVP Health Care	Updated 3/1/2022
MVP Plan Type Information	Updated 1/1/2022
Credentialing	Updated 10/1/2021
Provider Responsibilities	Updated 3/1/2022
Inpatient and Outpatient Service Program	Updated 10/1/2021
Pharmacy Benefits	Updated 10/1/2021
Behavioral Health	Updated 3/1/2021
New York State Government Programs	Updated 1/1/2022
MVP’s Medicare Advantage Plans	Updated 1/1/2022
Utilization Management	Updated 7/1/2021
Claims	Updated 3/1/2022
Quality Improvement	Updated 4/1/2021
Appeals Process	Updated 10/1/2021
National Vendors	Updated 1/1/2022
Payment Policies	Updated 3/1/2022

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• Archive

  • Provider Policies, Effective January 1, 2022 (PDF)
  • Payment Policies, Effective January 1, 2022 (PDF)
  • Provider Policies, Effective October 1, 2021 (PDF)
  • Payment Policies, Effective October 1, 2021 (PDF)
  • Provider Policies, Effective July 1, 2021 (PDF)
  • Payment Policies, Effective July 1, 2021 (PDF)
  • Provider Policies, Effective April 1, 2021 (PDF)
  • Payment Policies, Effective April 1, 2021 (PDF)
  • Provider Policies, Effective January 1, 2021 (PDF)
  • Payment Policies, Effective January 1, 2021 (PDF)