Attention clinician and hospital providers
What changed?
On October 9, 2023, the Health Care Authority (HCA) sent a provider alert notifying providers that COVID-19 vaccines are no longer federally purchased and that retroactive to dates of service on and after September 11, 2023, HCA reimburses for only the COVID-19 vaccine and vaccine administration codes listed in the provider alert.
HCA also informed providers that an update to the Apple Health (Medicaid) COVID-19 Vaccine Policy would be available soon on HCA’s website. HCA has updated this policy, and it is available on HCA’s Provider billing guides and fee schedules webpage, under COVID-19, Policies and billing guidance.
See the What has changed table in the updated policy document for a complete list of changes made.
Fee Schedules
HCA’s fee schedules are located on HCA’s Provider billing guides and fee schedules webpage, under Outpatient Hospital, Physician-related/professional services, or Professional administered drugs.
CPT® codes and descriptions only are copyright 2022 American Medical Association.
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