MVP has a library of valuable resources that will be critical tools for you whether you are onboarding with MVP or have been part of our Network for many years.
In addition to your MVP Professional Relations Representative, MVP has several departments that you may need to contact from time to time. Please review our list of MVP contacts [link to 1.12.1].
MVP Provider Policies and Payment Policies
MVP Provider Policies and Payment Policies include operational procedures, plan type offerings, and clinical programs. The policies are designed to serve as a reference tool for Providers and facilities. All policies are reviewed at least once annually, and updated policies are posted 30-days prior to their implementation. Please bookmark the MVP Policy and Payment Policy page.
Provider Communications Center
Stay up to date on the Provider Communications Center — a central location for important updates, gaps in care information, MVP process updates, and more. We recommend that you bookmark this page and visit often to make sure you are aware of important changes, tips, and tools that impact doing business with MVP.
We also ask that you review and update your contact information at least quarterly to ensure you receive timely information from MVP.
From prior authorization and provider change forms to claim adjustments, MVP offers a complete toolkit of resources for you to use.
Prior Authorization Policy Guides can be accessed for New York and Vermont Providers. Please review the Medical and Behavioral Health Prior Authorization forms
To ensure that your patients have your most up-to-date information and access to care, Providers are asked to notify MVP immediately when they have changes to their demographics. This includes verifying that phone and fax numbers are current, as well as office location information and more.
Use the Online version of the MVP Provider Demographic Change Forms to submit changes to MVP.
Access and Availability Standards
Per New York State and Vermont requirements, Providers are asked to meet access and availability standards to ensure health care services are provided in a timely manner. MVP encourages you to review the current standards to verify that your patients have timely access to necessary health care. From time-to-time MVP and regulators may contact you to validate that these requirements are being met.
MVP Reference Library
The MVP Reference Library is a valuable source of information on multiple topics and includes information on HEDIS Provider Reference Guides and much more.
MVP Quality Programs
MVP works collaboratively with our Providers to close gaps in care, through shared information and actionable data that helps drive the quality and appropriateness of health care services. Please review our Quality Programs and Resources.