Updates to the Coverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration and Cost Sharing under Medicaid, the Children’s Health Insurance Program, and Basic Health Program Toolkit

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Today, the Centers for Medicare & Medicaid Services (CMS) released an update to the Coverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration and Cost Sharing under Medicaid, the Children’s Health Insurance Program, and Basic Health Program vaccine toolkit that was originally released on October 28.

This update includes information regarding the Public Readiness and Emergency Preparedness (PREP) Act authorizations related to COVID-19 vaccinations, implications on Medicaid and Children’s Health Insurance Program coverage and reimbursement, and authorization for pharmacies distributing and administering certain covered countermeasures (including COVID-19 vaccinations). 

We have also updated the toolkit with information regarding the newly released Current Procedural Terminology (CPT) codes for the recently announced Pfizer and Moderna COVID-19 vaccines.

• Updated COVID-19 Vaccine Toolkit