Apple Health (Medicaid) Provider Alert
Attention providers
What changed?
Retroactive to dates of service on and after December 8, 2022, the Health Care Authority (HCA) added the following COVID vaccine procedure codes to the Apple Health (Medicaid) COVID-19 vaccine clinical policy and fee schedule:
CPT® or HCPCS code Short description Labeler
91316 SARSCOV2 VAC BVL 10MCG/0.2ML Moderna
0164A ADM SRSCV2 BVL 10MCG/0.2ML B Moderna
91317 SARSCOV2 VAC BVL 3MCG/0.2ML Pfizer
0173A ADM SARSCV2 BVL 3MCG/0.2ML 3 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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