COVID-19 vaccine clinical policy update, eff. 9/22/2021

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Apple Health (Medicaid) Provider Alert

Attention providers:

What changed? 

Effective for claims with dates of service on and after September 22, 2021, the Health Care Authority (HCA) covers HCPCS code 0004A, COVID vaccine booster.

HCA has published revisions to the Apple Health (Medicaid) COVID-19 vaccine clinical policy under Reimbursement information and billing guidance to reflect this update.

COVID-19 Fee Schedule

HCA also revised the Emergency COVID-19 fee schedule to reflect this change. See HCA’s Provider billing guides and fee schedules, under COVID-19.