Provider Resource Manual
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.
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Effective October 1, 2020 |
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Contacting MVP Health Care | Updated 1/1/2020 |
MVP Plan Type Information | Updated 1/1/2021 |
Credentialing | Updated 1/1/2021 |
Provider Responsibilities | Updated 7/1/2020 |
Inpatient and Outpatient Service Program | Updated 10/1/2020 |
Pharmacy Benefits | Updated 4/1/2020 |
Behavioral Health | Updated 10/1/2020 |
New York State Government Programs | Updated 1/1/2021 |
MVP’s Medicare Advantage Plans | Updated 1/1/2021 |
Utilization Management | Updated 7/1/2020 |
Claims | Updated 7/1/2020 |
Quality Improvement | Updated 4/1/2020 |
Appeals Process | Updated 10/1/2020 |
National Vendors | Updated 4/1/2020 |
Payment Policies | Updated 1/1/2021 |
Note: The PRM is most compatible with the Chrome browser. Learn how to view pdf files in your browser.
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