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.

	Provider Resource Manual, Effective July 1, 2021 (All Topics) (PDF) Payment Policies, Effective July 1, 2021 (PDF)

 

Effective July 1, 2021
Contacting MVP Health Care	Updated 1/1/2020
MVP Plan Type Information	Updated 1/1/2021
Credentialing	Updated 7/1/2021
Provider Responsibilities	Updated 7/1/2021
Inpatient and Outpatient Service Program	Updated 10/1/2020
Pharmacy Benefits	Updated 4/1/2021
Behavioral Health	Updated 7/1/2021
New York State Government Programs	Updated 7/1/2021
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 4/1/2021
National Vendors	Updated 4/1/2020
Payment Policies	Updated 7/1/2021

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

 

• Archive

  • Provider Resource Manual, Effective April 1, 2021 (All Topics) (PDF)
  • Payment Policies, Effective April 1, 2021 (PDF)
  • Provider Resource Manual, Effective January 1, 2021 (All Topics) (PDF)
  • Payment Policies, Effective January 1, 2021 (PDF)
  • Provider Resource Manual, Effective October 1, 2020 (All Topics) (PDF)
  • Payment Policies, Effective October 1, 2020 (PDF)
  • Provider Resource Manual, Effective July 1, 2020 (All Topics) (PDF)
  • Payment Policies, Effective July 1, 2020 (PDF)
  • Provider Resource Manual, Effective April 1, 2020 (All Topics) (PDF)
  • Payment Policies, Effective April 1, 2020 (PDF)
  • Provider Resource Manual, Effective April 1, 2020 (All Topics) (PDF)
  • Payment Policies, Effective April 1, 2020 (PDF)
  • Provider Resource Manual, Effective January 1, 2020 (All Topics) (PDF)
  • Payment Policies, Effective January 1, 2020 (PDF)
  • Provider Resource Manual, Effective October 1, 2019 (All Topics) (PDF)
  • Payment Policies, Effective October 1, 2019 (PDF)
  • Payment Policies, effective July 1, 2019 (PDF)
  • Provider Resource Manual, effective April 1, 2019 (All Sections) (PDF)
  • Provider Resource Manual, effective December 1, 2018 (All Sections) (PDF)