Apple Health (Medicaid) Provider Alert
Attention providers
What changed?
Retroactive to claims with dates of service on and after October 20, 2021, the Health Care Authority updated the Apple Health (Medicaid) COVID-19 vaccine clinical policy.
Specifically, HCA added the following procedure codes to the COVID Vaccine and Vaccine Administration table:
CPT® Code
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Short Description
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Comments
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91306
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SARSCOV2 VAC 50 MCG/0.25 ML IM
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Moderna booster
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0064A
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ADM SARSCOV 2 50 MCG/0.25 MLBST
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Moderna booster
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0034A
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ADM SARSCOV2 VAC AD26 .5ML B
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Janssen booster Use with CPT® code 91303 SARSCOV2 VAC AD26 .5ML IM
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COVID-19 Fee Schedule
HCA revised the Emergency COVID-19 Fee Schedule, updated October 28, 2021. See HCA’s Provider billing guides and fee schedules, under COVID-19.
CPT® codes and descriptions only are copyright 2020 American Medical Association
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