COVID-19 Updates for Providers
Stay Up-To-Date on COVID-19
MVP continues to monitor the COVID-19 situation carefully and is taking proactive measures to protect the health and safety of MVP Members, employees, providers, and our community. We are working in accordance with the guidelines provided by the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and with both New York and Vermont state departments overseeing the needs of the communities we serve.
MVP is committed to keeping providers up to date regarding changing guidelines and policies. Below is a summary of changes made during this State of Emergency.
Please note, MVP is abiding by guidance put forth by all regulating bodies and will provide coverage accordingly. As regulatory dates change, so will the dates associated with MVP coverage outlined below. To receive updates as they are announced, contact your MVP Professional Relations representative to receive email updates. MVP will email or fax updates to providers and will update this page accordingly.
On July 2, 2021 MVP announced changes to Member cost-share effective August 1, 2021. Please review Provider FastFax #30 for details.
MVP covers approved COVID-19 vaccines at no cost-share to Members in all plans. Learn more on our COVID-19 Vaccines page.
Diagnostic and Antibody Testing
In compliance with state and federal regulations, MVP does not apply a cost-share to visits for testing for COVID-19 when deemed medically necessary, including any fees associated with an in-network office, Emergency Department (ED), or Urgent Care Center (UCC) or an out-of-network ED, or UCC Provider for the purpose of getting tested for COVID-19.
Learn more and find relevant codes on our COVID-19 Diagnostic and Antibody Testing page.
MVP has extended the Member cost-share waiver for COVID-19 treatment costs for any site of service, including inpatient hospitalizations and emergency room visits, for New York fully insured health plans and Medicare health plans.
Find more information about treatment for COVID-19, including telemedicine, prior authorizations, prescriptions, codes, and more on our COVID-19 Treatment page.
For information related to conducting virtual visits, including telemedicine, telemental health, telephone visits and Gia, visit our COVID-19 Virtual Visits page.
Special codes and practice rules are in effect during the state of emergency. Find a summary of codes for commercial, Medicare and Medicaid plans, plus information about PPE and different kinds of providers on our COVID-19 Practice Management Page..
Find helpful information that applies to acute care facilities, post-acute care services, and behavioral health admissions on our COVID-19 Utilization Management page.
Medicare + Medicaid Specific Information
Effective March 1, 2020, MVP is following the payment rules published in the Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency, Interim Final Rule with Comment (IFC).
Find more details, as well as helpful Medicaid-specific resources on our COVID-19 Medicare and Medicaid Resources page.
Prescriptions and PharmacyMVP Members are now able to obtain an early refill on a 30-day supply of maintenance medications at an in-network pharmacy, regardless of whether the state the Member resides in has called a state of emergency. Medicaid Members who are quarantined or whose provider suggests self-quarantine may contact CVS to request a 90-day supply of maintenance medications during the COVID crisis. MVP Medicare Members may request a 90-day supply of medications at an in-network pharmacy. Members should speak with their pharmacist to enter the applicable emergency supply override code into their dispensing systems to trigger the early refill override.
Members with a mail-order benefit taking maintenance medications should be encouraged to take advantage of the ability to receive a 90-day supply of medication through the CVS Caremark Mail Order pharmacy and mailed directly to their home. Some retail pharmacies will also mail prescriptions to a home address; Members should be encouraged to please ask their pharmacist if this is an option.
Controlled substances and specialty medications will be exempt from this override process. Please remember that most specialty medications may be obtained from the CVS Specialty Pharmacy, which mails prescriptions to a Member’s home already.
MVP Pharmacy Billing for COVID-19 Testing (PDF)
Federal Agency Resources
New York State Agency Resources
Vermont Agency Resources