State of Alabama
10/04/2022 | Press release | Distributed by Public on 10/04/2022 11:38
New Coverage for Administration of Pfizer 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 Pfizer 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, July 26, 2022, and August 15, 2022.
Effective for dates of service on or after August 31, 2022, Medicaid covers the following procedure codes for the administration of the COVID-19 Pfizer vaccine for Medicaid recipients 12 years of age or older.
|
Procedure Code |
Procedure Code Short Descriptor |
Medicaid Rate |
|
0124A |
ADM SARSCV2 BVL 30MCG/.3ML B |
$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 (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.