Published October 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 October 1, 2024, and are posted here.
Provider Policies
- Claims
- Credentialing
- Inpatient and Outpatient Services
- MVP's New York State Government Programs
- Pharmacy Benefits
- Provider Responsibilities
Payment Policies
- Article 28 Split Billing
- Contrast Materials
- Elective Delivery for Providers and Facilities
- Eye Wear Coverage
- Implantable Devices
- Locum Tenens
- Mental Health and Substance Use Disorder
- Office Place of Service
- Personal Care Consumer Directed Personal Assistance Services
- Physical Therapy (PT)
- Preoperative Lab Testing
- Radiopharmaceuticals
- Robotic and Computer Assisted Surgery
- Surgical Supplies
- Telehealth
- Unlisted CPT Code
- Urgent Care
- Virtual Check-ins and Interpersonal Telephone, Internet, Electronic Health Record Consultation
MVP Process Updates
Review other articles in this issue regarding MVP process updates.