MedicaidCoverageMedium impact
Oregon Health Plan coverage for bivalent COVID-19 booster vaccinations and seasonal flu vaccines
Oregon Health Plan·OR · Family Medicine, Internal Medicine, Pediatrics +1 more·Plan
Effective date
Oct 7, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Plan now covers bivalent COVID-19 booster vaccines and seasonal flu vaccines, effective immediately. Providers can bill for vaccine administration using specific codes and may administer both vaccines during the same encounter.
Action Required
Immediately: Billing team must update system to accept codes 0124A (Pfizer bivalent booster administration) and 0134A (Moderna bivalent booster administration) for Oregon Health Plan members. Reference OHA's 2022-2023 flu season code list for seasonal flu vaccine billing. Bill member's CCO or OHA directly for non-CCO enrolled members.