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MedicaidAdministrativeMedium impact

UPDATE - COVID-19 Reimbursable Vaccine, Laboratory and Infusion Codes

Maryland Medicaid·MD·Provider Transmittal
Effective date
Dec 23, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Maryland Medicaid has consolidated COVID-19 vaccine, laboratory, and infusion code reimbursement guidance into two centralized, continuously updated fee schedules. This policy directs providers to reference these online fee schedules instead of future transmittals for current reimbursable codes and rates. Billing teams must access the Maryland Medicaid Provider Information Page to obtain the complete and current lists of approved codes.

Action Required

Action needed
Immediately: Billing team must access and bookmark the COVID-19 Reimbursable Laboratory Fee Schedule and COVID-19 Reimbursable Vaccine and Infusion Code Fee Schedule from the Maryland Medicaid Provider Information Page at https://mmcp.health.maryland.gov/Pages/Provider-Information.asp. Verify all COVID-19 vaccine, laboratory, and infusion code billing against these live fee schedules rather than relying on prior transmittals. Update billing system documentation to reflect this new reference source. For specific code questions, contact Christa Smith at christa.smith@maryland.gov; for MCO-related questions, contact Pam Williams at pam.williams@maryland.gov. Failure to use current fee schedules may result in claim denials or improper reimbursement rates.