Use all privately purchased vaccines first.
Free supplemental influenza vaccine cost can’t be reimbursed,
but an administrative fee can be requested.
When
billing a Medicaid recipient for the free vaccine, no ingredient cost or
dispensing fee should be included on the claim. A $5.00 administration fee
may be submitted.
Pharmacies
should submit the administration fee in the Incentive Amount Submitted field
(NCPDP Field 438-E3) on the same claim as the vaccine (i.e. ingredient).
Recoupments
may occur if it is determined that a free supplemental vaccine was administered
to a Medicaid patient and an ingredient cost and dispensing fee were submitted
on the claim.
All administered vaccines must be entered into ImmPrint via
interface or manually within 72 hours.