1. What is the goal of the Preferred Care and MVP Integration Network?
   
   MVP and Preferred Care completed and announced finalization of merger activities in January 2006. Since then, the newly merged organizations have initiated integration strategies, which include the blending of our formerly separate Provider networks. This is the first step in combining the two provider networks to allow access to our combined membership.
2. Does my Preferred Care participating provider agreement need to be amended?
   
   Preferred Care has sent participating providers an Amendment to their existing agreement. If you have not received an Amendment, we recommend that you contact your Contract Representative. This Amendment would allow you to treat MVP members, including members enrolled in MVP Gold (MVP’s Medicare Advantage Program), provided you participate in Preferred Care’s Medicare network.
   
3. Can I expect to see a large number of MVP members?
   
   Due to the limited number of MVP members living or working in Preferred Care’s service area, we do not expect the initial volume to be high. However, this Amendment will allow you to treat MVP members as a participating provider when they are traveling, or attending college away from home.
   
4. What will I be compensated for services rendered to MVP members?
   
   You will be compensated the same rates you are paid for Preferred Care members.
   
   
5. Will MVP members present their ID cards when seeking services? How will I know that they have MVP coverage?
   
   MVP members must present their ID card whenever they request services, just like Preferred Care members. You should ask for an ID card if they do not give it to you. A sample of an MVP ID card is presented below.
   
   
   
   
   
6. How will I know when I have to pre-authorize services for a MVP member?
   
   MVP and Preferred Care have created one commonly used set of medical policies. We have made a comprehensive reference tool available so that you will know how to contact each plan, as well as other helpful information, to help you treat the MVP member and receive payment from MVP. The reference tool is online on the secure portion of the provider home page of our Web site, www.preferredcare.org.
   
7. How do I check eligibility and benefits for MVP members on or after January 1, 2007?
   
   You may check a MVP member’s eligibility and benefit information, by contacting MVP at 1-888-687-6277. This number is also on the back of the member’s ID card.
   
   
8. Where do I submit claims for MVP members?
   
   Claims for MVP members can be sent to the following address:
   
   MVP Health Care
   P.O. Box 2207
   Schenectady, New York 12301-2207
   
9. Who do I call if I have a problem with a claim for a MVP member?

   You may call Preferred Care’s Professional Relations Service Center at
   1-800-999-3920.

10. What if I need to write a prescription for an MVP member?

    Write the prescription as you would for a Preferred Care member. Preferred Care and MVP use the same pharmacy benefit manager (Medco Health Solutions, Inc.)

Last updated: December 28, 2006