MedicaidCoverageMedium impact
MAB2021073001
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, General Practice +4 more·Provider Bulletin
Effective date
Apr 1, 2021
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) has expanded the types of providers who can bill for COVID-19 vaccine and monoclonal antibody administration. New eligible provider types include home health agencies, ambulance providers, renal dialysis centers, psychiatric outpatient clinics, drug and alcohol outpatient clinics, and partial psychiatric hospitals.
Action Required
Immediately: Billing teams at newly eligible provider types (home health agencies, ambulance providers, renal dialysis centers, psychiatric outpatient clinics, drug and alcohol outpatient clinics, and partial psychiatric hospitals) in Pennsylvania should update their billing systems to include COVID-19 vaccine administration codes and monoclonal antibody therapy codes for Medical Assistance claims. Review Attachments A and B for specific billing procedures and fee schedules.