All PlansAdministrativeMedium impact
Mvp Code of Ethics And Business Conduct Summary
MVP Health Care·NY·Coding
Effective date
Jan 1, 2026
We identified it
Jan 1, 2026
Summary
MVP has issued a refreshed Code of Ethics and Business Conduct policy (effective January 2026) that reinforces compliance requirements for all network providers, vendors, and contractors. This is primarily an informational and compliance policy requiring staff training on HIPAA, fraud prevention, anti-kickback statutes, and mandatory reporting of suspected violations through designated hotlines.
Action Required
By February 28, 2026: (1) Billing team and all staff handling MVP Member information must complete HIPAA Privacy, Security, and Breach Prevention training; (2) Designate compliance officer to review MVP's full Code of Ethics and Business Conduct policy online; (3) Ensure all providers and staff are aware of the Ethics & Integrity Hotline (1-888-357-2687) and Special Investigations Unit hotline (1-877-835-5687) for reporting suspected violations or fraud, waste, and abuse; (4) Audit current vendor and contractor relationships to confirm no individuals appear on CMS, HHS OIG, GSA, OMIG, SSADMF, or NPPES exclusion/preclusion databases; (5) Review billing processes to confirm no kickback arrangements or improper remuneration exist for referrals of Government Programs business; (6) Post compliance contact information and hotline numbers in accessible locations for staff. Contractors must comply with all standards or risk contract termination and compliance sanctions.