Summary
Michigan Medicaid temporarily increases vaccine administration reimbursement to 100% of Medicare rates through December 30, 2020, and allows pharmacies to bill for influenza vaccine costs for children 3+ and administer vaccines at new locations including COVID-19 testing sites.
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What to do
immediately · 3 steps
01Update billing system with new vaccine administration rates ($13.76 for primary codes, $12.38 for add-on codes) effective October 1, 2020 through December 30, 2020.
02Add new places of service for COVID-19 testing sites, drive-through locations, and mobile vans for vaccine billing.
03Pharmacy billing staff should verify influenza vaccine coverage at michigan.magellanrx.com for pediatric patients.
Codes mentioned
9046090471904729047390474G0008G0009G0010
Original notice
MSA 20-65
michigan.gov · Always check the source before changing claims.
Related changes
See all Michigan Medicaid - MDHHS changes →MMP 24-39: Medicaid Program Rate Updates Fiscal Year (FY) 2025; Federally Qualified Health Center (FQHC) Reimbursement UpdateHighEffective Oct 1, 2024 · Claims & BillingMMP 22-35MediumEffective Dec 1, 2022 · Provider BulletinMSA 20-75MediumEffective Dec 1, 2020 · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list