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July 20, 2023
While we recognize that the COVID-19 vaccine program is in a transitional phase, we would like to remind providers that the COVID-19 Vaccine Provider Agreement is still in effect until the new vaccine formulations are available. Providers signed this agreement stating they would adhere to the following:
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Must administer COVID-19 Vaccine at no out-of-pocket cost to the recipient.
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May not deny anyone vaccination based on the vaccine recipient’s coverage status or network status.
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May not charge an office visit or other fee if COVID-19 vaccination is the sole medical service provided.
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May not require additional medical services to receive COVID-19 vaccination.
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May seek appropriate reimbursement from a program or plan that covers COVID-19 Vaccine administration fees for the vaccine recipient, such as:
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vaccine recipient’s private insurance company.
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Medicare or Medicaid reimbursement.
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May not seek any reimbursement, including through balance billing, from the vaccine recipient.
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