MedicaidBilling CodesMedium impact
21-102 COVID-19 Vaccines: What You Need to Know
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net has updated their COVID-19 vaccine administration policy, providing comprehensive guidance on enrollment, billing codes, and coverage. The policy confirms vaccines are covered at no cost to members with specific CPT codes for Pfizer (91300) and Moderna (91301) vaccines, and administration codes 0001A/0002A for Pfizer and 0011A/0012A for Moderna.
Action Required
Immediately: Billing team must verify COVID-19 vaccine billing uses correct CPT codes - 91300 for Pfizer vaccine, 91301 for Moderna vaccine, with corresponding administration codes 0001A/0002A for Pfizer and 0011A/0012A for Moderna. Update billing system to ensure no copay or cost share is collected from members. Record vaccination details in system within 24 hours and local immunization registry within 72 hours.