MedicaidReimbursementMedium impact
MAB2021041901
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, Pharmacy +1 more·Provider Bulletin
Effective date
Mar 15, 2021
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) increased reimbursement for COVID-19 vaccine administration to $40.00 per dose, matching Medicare rates. The increase applies to all SARS-CoV-2 vaccine administration codes and is retroactive to March 15, 2021.
Action Required
Immediately: Billing team should verify that Pennsylvania Medicaid COVID-19 vaccine administration claims are processing at the new $40.00 rate. The state will automatically reprocess claims submitted between March 15, 2021 and April 19, 2021 - no resubmission required. Update fee schedules in billing system to reflect the $40.00 rate for all COVID vaccine administration codes (0001A-0031A) for PA Medicaid patients.