MVP Health Care

Provider FastFax - West Region

Date	No	Fastfax Description
		Fast faxes have been combined and are no longer region-specific. Please visit the main FastFax page to view current faxes.

12/28/18	56	Online Provider Demographic Information Review Request
12/26/18	55	Credentialing Update for MVP Providers
12/20/18	54	Pharmaceutical Policies available for Providers
12/21/18	53	Pharmacy Formulary Updates Effective 1/1/19
12/5/18	51	Pharmacy Formulary Updates Effective 12/1/2018
12/4/18	50	Pharmaceutical Policy Updates
11/29/18	47	New Children and Family Treatment and Support Services (CFTSS) Available Starting January 1, 2019
11/15/18	46	Diagnosis Matching Edits Policy Update
11/6/18	45	Medical Policy updates available
11/1/18	44	Office Consultation for Screening Colonoscopy
10/30/18	42	Pharmaceutical Policies available for providers
10/29/18	41	Pharmacy Formulary Updates Effective 11/1/2018
9/28/18	40	Musculoskeletal Management Program
9/30/18	39	Correction to Payment Policy Updates ? Effective 1/1/19
9/25/18	38	Pharmaceutical policy updates available
9/25/18	36	Online Provider Demographic Information Review Request
9/21/18	35	MVP Health Care, Inc. Code of Ethics and Business Conduct Summary
9/20/18	34	Pharmacy Formulary Updates, effective 9/1/18
9/17/18	33	CMS Medicare Benefits and Beneficiary Protections
8/30/18	32	Urgent Care Payment Policy
8/16/18	31	Pharmacy Formulary Updates, effective 8/1/18
8/20/18	30	Pharmacy Policy Updates
8/9/18	29	Updated Provider Change and Patient Reassignment Request Form Now Available
7/6/18	28	CMS Medicare Benefits and Beneficiary Protections
6/29/18	27	Execution of Clinical Criteria
6/28/18	26	Change in Prior Authorization Facility Based Sleep Studies Effective October 1, 2018
6/26/18	25	Online Provider Demographic Information Review Request
6/25/18	24	Online Provider Change of Information Form - Required for Use July 1, 2018
6/15/18	23	Notice of discontinue of provider bonus incentives
6/14/18	22	CMS Medicare Benefits and Beneficiary Protections
5/23/18	21	CMS Medicare Benefits and Beneficiary Protections
5/31/18	20	Surgical Supplies Reimbursement Policy Updates
5/18/18	19	West Region Professional Relations Department
5/7/18	18	Online Provider Change of Information Form Available May 15
5/1/18	17	Pharm Formulary Updates
4/30/18	16	Pharm Policies Available
4/27/18	15	Annual Review of Clinical Criteria
4/13/18	14	CMS Medicare Benefits and Beneficiary Protections
3/29/18	13	Online Provider Demographic Information Review Request
3/16/18	12	CMS Medicare Benefits and Beneficiary Protections
3/16/18	11	Musculoskeletal Management Program
3/2/18	10	Pharm Formulary Updates
3/1/18	9	Pharm Policies Available
2/16/18	8	CMS Medicare Benefits and Beneficiary Protections
2/15/18	7	Musculoskeletal Management Program
1/18/18	6	Improving Perinatal Care for Medicaid Members
1/17/18	5	MVP Health Care Musculoskeletal Management Program Provider Education Webinars
1/10/18	3	1/1/18 Insulin Changes
1/10/18	2	CMS Medicare Benefits and Beneficiary Protections
1/5/18	1	Pharmaceutical Policies Available
12/29/17	58	Online Provider Demographic Information Review Request
12/21/17	57	MVP Health Care? and Magellan
12/18/17	56	MVP Member ID Numbers
12/12/17	55	CMS Medicare Benefits and Beneficiary Protections
11/7/17	50	Pharm Formulary Updates, effecitve 11/1/2017
11/3/17	49	Pharm Policies Updates
10/27/17	48	Reminder regarding Occurrence Code 55
10/26/17	47	Reminder: Drug Quantity and Unit of Measure are required for NDC?s
10/25/17	46	Claim Denials for Duplicate Modifiers
10/13/17	45	Chronic Care Management Payment Policy Update
9/28/17	43	Payment Policy Updates
9/27/17	42	Lab Reimbursement Policy
9/25/17	41	Online Provider Demographic Information Review Request
9/14/17	39	Duplicate Diagnosis Code Payment Policy Requirement Reminder
8/25/17	37	Pharm Policies Updated
8/21/17	36	Preventing Preterm Birth with Makena^®
8/3/17	34	Medicaid Managed Care Maternal Postpartum Depression Billing
7/24/17	33	Further Payment Reductions on Deliveries Prior to 39 Weeks Gestation
7/17/17	32	Inpatient Interpreter Services
6/30/17	30	Clinical Criteria Interqual
6/23/17	29	Online Provider Demographic Information Review Request
6/19/17	28	2017 Hedis Coding Reference Guides
6/15/17	27	MVP Awarded Core-Certification Seal from CAQH for Streamlining Exchange of Health Care Data
6/9/17	26	Pharmacy Formulary Updates
6/6/17	25	CMS Medicare Benefits and Beneficiary Protections
6/6/17	24	Pharmacy Policies Available
5/25/17	23	Reminder Change Clearinghouse
5/12/17	22	CMS Medicare Benefits and Beneficiary Protections
5/2/17	21	Annual Review of Clinical Criteria
5/1/17	20	Changes to the Utilization Management Documents
4/20/17	19	MVP Code of Ethics and Business Conduct Summary
4/18/17	18	Patient (Discharge) Status Code Requirement
4/14/17	17	Pharmacy Policy Updates
4/13/17	16	Change your Clearinghouse
4/10/17	15	340B Program Billing updates
4/5/17	14	CMS Medicare Benefits and Beneficiary Protections
3/28/17	12	Online Provider Demographic Information Review Request
3/22/17	11	835/ERA (Electronic Remittance Advice)
3/6/17	10	Pharmacy Formulary Updates
3/3/17	9	Pharmaceutical Policies Available
2/27/17	8	National Drug Code (NDC) Payment Policy Requirement Reminder
2/24/17	7	Identification of NY State of Health Individual and Small Group MVP Members
2/20/17	6	New York State Department of Health Incontinence Supply Management Program
2/17/17	5	Marketplace (Exchange) Primary Care Improvement Program
1/20/17	3	Pharmaceutical Policies Available
1/9/17	1	Provider Seminar Updates
12/21/16	66	Online Provider Demographic Information Review Request
12/20/16	64	Medical Policies Available
12/13/16	63	MVP Information and Updates Seminar available online
12/12/16	62	2017 Commercial/Exchange Formulary Changes
12/8/16	61	Pharmacy Formulary Udates effecitve 12/1
12/7/16	60	Important Reminder regarding a CMS STAR measure
12/1/16	59	Pharmaceutical Policies Available
12/1/16	58	Admission Type Code
11/30/16	57	Prescriber Must Be the Contact for Prior Authorizations for Member Prescriptions
11/11/16	55	Specialty Pharmacy and Part B
11/10/16	53	Preventive Services - Colorectal Cancer Screening
11/9/16	52	National Drug Code (NDC) Payment Policy Requirement Reminder
11/1/16	51	Clearinghouse Consolidation
10/20/16	50	Preventive Visits and Modifier 25
10/20/16	49	Changes to the Inpatient Review Programs for MVP Medicare Advantage Plan Members ONLY
10/17/16	48	Frozen Fee Schedule Updates
10/13/16	47	Continuing Education Unit (CEU) Opportunity
10/12/16	46	Medicare Modifier Usage Reminder
10/10/16	45	Psychotropic Drug Intervention Program (PDIP)
10/6/16	44	Billing for Flu and Pneumococcal Vaccines
10/4/16	43	Changes to the Welcome Letter Process for New Providers
10/3/16	42	CT Modifier Claim Payment Reduction
9/29/16	41	New for 2017 Telemedicine Benefit
9/22/16	40	Changes to the Medical and Durable Medical Prior Approval Request Forms
9/26/16	39	Important Reminders regarding two HEDIS measures MVP Health Care will be collecting during chart reviews in 2017
9/20/16	38	Extended Office Hours
9/15/16	36	Pharmacy Formulary Updates Effective 9/1/2016
9/8/16	35	Pharmaceutical Policies Available
8/29/16	34	National Drug code
	33	Daily Census Report Changes
8/12/16	32	Medicaid Smoking Cessation Provider Incentive Reward
8/10/16	31	Execution of Clinical Criteria
8/4/16	30	Radiation Oncologists: Revised Radiation Therapy Coding Guidelines and Clinical Documentation Requirements
7/29/16	29	MVP Harmonious Health Care Plan
7/20/16	28	ICD-10 Coding Documentation Guidelines: Acute Myocardial Infarction (AMI)
7/14/16	27	ICD-10 Coding Documentation Guidelines: Cerebrovascular Disease Sequela
7/12/16	26	ICD-10 Coding Documentation Guidelines: Major Depressive Disorder
7/11/16	25	ICD-10 Coding Documentation Guidelines: Past Medical History
7/7/16	24	Pharmacy Formulary Updates Effective 7/1/2016
07/06/16	23	Pharmaceutical Policies Available
6/30/16	22	MVP Health Care Appoints New Chief Medical Officer
6/29/16	21	ICD-10 Coding Documentation Guidelines Active Versus History Of Cancer
6/28/16	20	Online Provider Demographic Information Review Request
6/23/16	19	Annual Review Of Clinical Criteria
6/20/16	18	ICD-10 Coding Documentation Guidelines
6/16/16	17	ACA HHS - Operated Risk Adjustment Validation Audit
	16	Prenatal Risk Assessment Form
6/9/16	15	Changes To The Inpatient Review Programs For MVP Medicare Advantage Plan Members Only
6/6/16	14	Provider Reconsiderations For Medicare Advantage Plan Members
6/1/16	13	Pharmaceutical Policies Available
5/31/16	12	Serious Reportable Adverse Events (SRAE) (Formerly Referred To As Never Events) And Hospital Acquired Conditions (HACS) For Commercial And Aso Plans
5/27/16	11	Modifier 50
5/2/16	10	Pharmacy Formulary Updates
5/2/16	9	Pharmaceutical Policies Available
4/25/16	8	Configuration Error
40816	7	Smoking Cessation Benefits For Medicaid Enrollees
3/31/16	6	Superior Vision Updates
3/29/16	5	Online Provider Demographic Information Review Request
2/1/16	4	Pharm Formulary Updates, Effective 2/1/16
2/1/16	3	Pharm Policies Available
1/28/16	2	Advanced Premium Tax Credit (APTC) Member Delinquency Update
1/14/16	1	MVP Code Of Ethics And Business Conduct Summary

Please note: This is not an all inclusive list of FastFaxes that have been sent out by MVP. If you would like a copy of a FastFax that is not listed here, please contact the Customer Care Center for Providers.