Monkeypox test and vaccine policy update, eff. 7/26/2022

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Apple Health (Medicaid) Provider Alert

What changed? 

Retroactive for claims with dates of service on and after July 26, 2022, the Health Care Authority (HCA) covers the Monkeypox test and vaccine. HCA added coverage for the following codes:

CPT® Code            Short Description

87593                   MONKEYPOX TEST

90611                   SMALLPOX&MONKEYPOX VAC 0.5ML

90622                   VACCINIA VRS VAC 0.3 ML PERQ

Fee Schedule

For more information, including maximum allowable fees, see HCA’s updated Professional administered drug, Physician-related services/Professional healthcare services, and Outpatient prospective payment system (OPPS) fee schedules on HCA’s Provider billing guides and fee schedules webpage.