Apple Health (Medicaid) Provider Alert
What changed?
Retroactive to dates of service on and after August 31, 2022, the Health Care Authority (HCA) added the following procedure codes to the Apple Health (Medicaid) COVID-19 vaccine clinical policy and fee schedule:
CPT® or HCPCS code Short description Labeler
91312 SARSCOV2 VAC BVL 30MCG/0.3M Pfizer
0124A ADM SARSCV2 BVL 30MCG/.3ML B Pfizer
91313 SARSCOV2 VAC BVL 50MCG/0.5ML Moderna
0134A ADM SARSCV2 BVL 50MCG/.5ML B Moderna
HCA revised the Apple Health (Medicaid) COVID-19 vaccine clinical policy. See HCA’s Provider billing guides and fee schedules, under COVID-19, Policies and billing guidance.
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 2021 American Medical Association
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