PDF Version
TO: Providers Authorized for Vaccine Administration (Non-Pharmacy Providers)
RE: COVID-19 Vaccine Codes Added to VFC List
Effective for
dates of service on or after October 25, 2023, Medicaid has added the following
COVID-19 vaccine codes to the Vaccines for Children (VFC) listing:
Procedure Code
|
Description
|
VFC Rate
|
91304
|
SARSCOV2
VAC 5MCG/0.5ML IM
|
$8.00
|
91318
|
SARSCOV2
VAC 3MCG TRS-SUC
|
$8.00
|
91319
|
SARSCOV2
VAC 10MCG TRS-SUC IM
|
$8.00
|
91320
|
SARSCOV2
VAC 30MCG TRS-SUC IM
|
$8.00
|
91321
|
SARSCOV2
VAC 25MCG/0.25ML IM
|
$8.00
|
91322
|
SARSCOV2
VAC 50MCG/0.5ML IM
|
$8.00
|
Medicaid enrolled
providers should not bill for the vaccine if using federally-allocated
vaccines.
To participate
in the administration of VFC products, Alabama providers must enroll in the Alabama
Department of Public Health (ADPH) ImmPRINT Program. Follow the steps in the ImmPRINT 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 policy questions may contact Medicaid’s Physician Program
at Physicians.Program@medicaid.alabama.gov.
Providers with
billing questions should contact the Gainwell Technologies 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 © 2023
American Medical Association and © 2023 American Dental Association (or such other date publication of CPT
and CDT). All rights reserved. Applicable FARS/DFARS apply.