New Coverage for Administration of Novavax COVID-19 Vaccine (for Non-Pharmacy Providers)

TO: Hospital Providers, Physicians, Nurse Practitioners, Physician Assistants, Dentists, County Health Departments, Federally Qualified Health Centers, and Rural Health Clinics

RE: New Coverage for Administration of Novavax COVID-19 Vaccine (for Non-Pharmacy Providers)

Information in this Provider ALERT is in coordination with the ALERTs published January 11, 2021, March 24, 2021, January 13, 2022, and July 26, 2022.

Effective for dates of service on or after July 13, 2022, Medicaid covers the following procedure codes for the administration of the COVID-19 Novavax vaccine for Medicaid recipients 18 years of age or older.

Procedure Code	Procedure Code Short Descriptor	Medicaid Rate
0041A	ADM SARSCOV2 5MCG/0.5ML 1ST	$40.00
0042A	ADM SARSCOV2 5MCG/0.5ML 2ND	$40.00

Medicaid enrolled providers should not bill for the vaccine if using federally allocated vaccines.

To participate in the administration of COVID-19 vaccine, Alabama providers must enroll in the Alabama Department of Public Health's (ADPH) ImmPRINT COVID-19 Vaccination Program. Follow the steps in the ImmPRINT Registration Roadmap to enroll.

Providers must follow state and federal laws and regulations regarding administration of the vaccine, as well as state and federal standing order guidelines for products granted Emergency Use Authorization (EUA).

Providers with billing questions should contact the Gainwell Technology Provider Assistance Center at

1-800-688-7989.

The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2022American Medical Association
and © 2022American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.

Public link

Please use the above public link if you want to share this noodl on another website.