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January 2021 Medicaid Information Bulletin

Utah Medicaid·UT · Pharmacy·Government Programs
Effective date
Jan 1, 2021
We identified it
Jun 21, 2026
Days to comply

Summary

Utah Medicaid has updated COVID-19 billing guidance effective January 1, 2021, including specific vaccine administration codes and reimbursement rates of $22.67 per dose, copayment waivers with CS modifier requirements, and coverage for new COVID-19 testing codes. The policy provides detailed billing instructions for both pharmacy point-of-sale and medical claims for COVID-19 vaccines and related services.

Action Required

Action needed
Immediately: Update billing system to include new COVID-19 vaccine codes 91300 and 91301 with corresponding administration codes (0001A, 0002A, 0011A, 0012A) and set reimbursement rate at $22.67 per administration. Add CS modifier to all COVID-19 related claims to waive copayments. Program new COVID-19 testing codes (87635, 87636, 87637, 87426, 87811, 86769, 86413, 86408, 86409, 86328) for coverage. Train billing team on pharmacy point-of-sale requirements including proper NDC coding and submission clarification codes for initial vs. subsequent vaccine doses.

Affected Billing Codes

91300
91301
87635
87636
87637
87426
87811
86769
86413
86408
86409
86328