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Medicare AdvantageReimbursementMedium impact

2026 Home Care Seasonal Flu Vaccine Fee Schedule

Harvard Pilgrim Health Care·Allergy & Immunology, Family Medicine, Internal Medicine +2 more·Reimbursement
Effective date
Oct 1, 2026
We identified it
Aug 8, 2026
Days to comply
54 days

Summary

Harvard Pilgrim is updating its home care seasonal influenza vaccine fee schedule effective October 1, 2026. Practices must request the updated fee schedule from the Provider Service Center to ensure accurate reimbursement rates for home-administered flu vaccines.

Action Required

Before Oct 1, 2026
By September 15, 2026: Billing team must contact Harvard Pilgrim Provider Service Center at 800-708-4414 to request and obtain the updated 2026 home care seasonal flu vaccine fee schedule. Update billing system rates and EMR fee schedules to reflect new reimbursement amounts before the October 1, 2026 effective date. Failure to update rates may result in incorrect claim submission and reimbursement denials or underpayment.
2026 Home Care Seasonal Flu Vaccine Fee Schedule | Harvard Pilgrim Health Care | PolicyChanges.app