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Elizabeth M. Whitehorn, Director

Provider Notice issued 05/20/2024

 

To:
 Enrolled Pharmacies
​Date: ​May 20, 2024
​Re:
 COVID-19 Vaccine – Void/Rebill for Administration Fee for Dates of Service Beginning January 1, 2024

This notice provides updates to pharmacies billing for the COVID-19 vaccine administration fee. This update applies only to the Medicaid fee-for-service (FFS) program for dates of service beginning January 1, 2024.

The provider notice dated April 4, 2024, informed pharmacies that programming for the COVID-19 vaccine administration fee for dates of service September 11, 2023, through December 31, 2023, had been completed. HFS has now completed programming for pharmacies to receive the COVID-19 vaccine administration fee for dates of service beginning January 1, 2024.

Pharmacies may void and rebill claims that were initially submitted without the administration fee for dates of service beginning January 1, 2024. Pharmacies must use “MA” in the Professional Service Code Field, in addition to identifying the administration fee.

For managed care organization (MCO) claims, please contact the applicable MCO for rate and payment details.

Questions regarding this notice may be directed to a pharmacy consultant in the Bureau of Professional and Ancillary Services at 877-782-5565.

 

 

Kelly Cunningham, Administrator
Division of Medical Programs