MedicaidAdministrativeMedium impact
MAB2024012401
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Pediatrics, Internal Medicine +2 more·Provider Bulletin
Effective date
Jan 24, 2024
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) has issued a new Vaccine Desk Reference containing CPT codes for vaccine administration billing. The reference consolidates all covered vaccine codes into one resource and will be updated when new codes are added to the fee schedule.
Action Required
Immediately: Billing team should bookmark the new PA Medical Assistance Vaccine Desk Reference at https://www.dhs.pa.gov/providers/Providers/Pages/Medical-Assistance-for-Providers.aspx for vaccine billing reference. Verify that vaccine administration billing uses only the CPT codes listed in the desk reference. Update billing procedures to check this reference when new vaccine codes are added to ensure compliance with PA Medicaid requirements.