TO:     Physicians, Nurse Practitioners, Physician Assistants, FQHCs, RHCs, County Health Departments, Long Term Care Providers, Hospital Providers, and Dentists

RE:     Reimbursement Increase for COVID-19 Vaccine Administration

Information in this ALERT is in coordination with the Provider ALERT published December 1, 2020, December 29, 2020, and January 11, 2021.

Effective March 15, 2021, and continuing only during that time as described by the American Rescue Plan Act of 2021 that provides for increased FMAP for administration of the COVID-19 Vaccine, unless ended sooner by the Alabama Medicaid Agency in a subsequent ALERT, Medicaid will increase reimbursement for the following procedure codes for administration of the Pfizer COVID-19 vaccine for recipients 16 years of age and older:

Effective March 15, 2021, and continuing only during that time as described by the American Rescue Plan Act of 2021 that provides for increased FMAP for administration of the COVID-19 Vaccine, unless ended sooner by the Alabama Medicaid Agency in a subsequent ALERT, Medicaid will increase reimbursement for the following procedure codes for the administration of the Moderna COVID-19 vaccine for recipients 18 years of age and older:

Providers may resubmit claims for date of service on or after March 15, 2021 which were reimbursed at the lower rate. Medicaid enrolled providers should not bill for the vaccine if using federally allocated vaccines. Providers must follow state and federal laws and regulations regarding administration of vaccines. Providers with billing questions should contact the Gainwell Technology Provider Assistance Center at 1-800-688-7989.

To receive, administer, and report COVID-19 vaccines, healthcare providers must enroll in the ADPH’s ImmPRINT COVID-19 Vaccination Program. Follow the steps in the ImmPRINT Registration Roadmap to enroll.

Resources for providers related to COVID-19 vaccines:

·                  COVID-19 Vaccination Provider Support

·                  CDC Clinical Resources for COVID-19 Vaccine

·                  CDC COVID-19 Vaccination Recommendations

For provider information regarding COVID-19 vaccinations from Alabama Medicaid, please visit:  https://medicaid.alabama.gov/content/7.0_Providers/7.11_COVID-19_Vaccine_Providers.aspx.

The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2020 American Medical Association and © 2020 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.