Payment increase for administration of COVID-19 vaccines, effective 4/1/2021

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Apple Health (Medicaid) Provider Alert

Effective for dates on and after April 1, 2021, the Health Care Authority (HCA) will adjust the rate for COVID-19 vaccine administration to $40.00 per dose, for both single- and two-dose vaccinations.

The following CPT® codes will be adjusted: 0001A, 0002A, 0011A, 0012A, and 0031A.

Fee Schedule

The adjusted rate will appear on the COVID-19 fee schedule by April 1, 2021. To access HCA’s current COVID-19 Fee Schedule, see HCA’s Provider billing guides and fee schedules, under COVID-19.

CPT is a registered trademark of the American Medical Association.