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, 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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