Published April 2024
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. The following policies have been updated, with an effective date of April 1, 2024, and are posted here.
MVP Provider Policies
- Appeals
- Behavioral Health
- Contacting MVP
- Credentialing
- Provider Responsibilities
MVP Payment Policies
- After Hours
- Allergy Testing and Serum Preparation Claims
- Arthroscopic, Endoscopic, and other Non Gastro Intestinal Scope Procedures
- Audiology Services
- Consistency of Denials
- Default Pricing
- Durable Medical Equipment
- Evaluation and Management
- Interpreter Services
- JW and JZ Modifiers
- Laboratory Services
- Mental Health and Substance Use Disorder
- Mid-Level Payment Policy
- Modifier Policy for Physician
- Multiple Surgery – VT Facilities Only
- NDC Policy
- Nurse Practitioner (NP)/Physician Assistant (PA)/Clinical Nurse Specialists (CNS) Billing in a Skilled Nursing Facility, Nursing Facility, Inpatient Setting
- Occupational Therapy (OT)
- Preventive Health Care
- Radiology
- Speech Therapy (ST)
- Telehealth
- Transitional Care Management