Apple Health (Medicaid) Provider Alert
Attention providers
What changed?
Retroactive to dates of service on and after October 12, 2022, the Health Care Authority (HCA) added the following COVID vaccine booster procedure codes to the Apple Health (Medicaid) COVID-19 vaccine clinical policy and fee schedule:
CPT® or HCPCS code Short description Labeler
91314 SARSCOV2 VAC BVL 25MCG/0.25ML Moderna
0144A ADM SARSCV2 BVL 25MCG/.25ML B Moderna
91315 SARSCOV2 VAC BVL 10MCG/0.2ML Pfizer
0154A ADM SARSCV2 BVL 10MCG/.2ML B Pfizer
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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