Apple Health (Medicaid) Provider Alert
Attention providers
What changed?
Retroactive to claims with dates of service on and after October 29, 2021, the Health Care Authority (HCA) 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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Labeler Name
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Vaccine/ Procedure Name
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91307
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SARSCOV2 VAC 10 MCG TRS-SUCR
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Pfizer
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Pfizer-BioNTech Covid-19 Pediatric Vaccine
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0071A
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ADM SARSCV2 10 MCG TRS-SUCR 1
|
Pfizer
|
Pfizer-BioNTech Covid-19 Pediatric Vaccine – Administration – First dose
|
0072A
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ADM SARSCV2 10 MCG TRS-SUCR 2
|
Pfizer
|
Pfizer-BioNTech Covid-19 Pediatric Vaccine – Administration – Second dose
|
COVID-19 Fee Schedule
HCA revised the Emergency COVID-19 Fee Schedule. 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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