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BT202398: IHCP expands coverage for Moderna COVID-19 booster vaccine and administration codes
Act
immediately
Effective date
Oct 12, 2022
Identified
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) now covers Moderna COVID-19 bivalent booster vaccines for members ages 12-17, expanding from the previous 18+ age limit. The vaccine is free but administration can be billed at $36.90 using specific codes.
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What to do
immediately · 4 steps
01Update billing system to allow codes 91313 and 0134A for Indiana Medicaid members ages 12-17.
02Bill vaccine code 91313 at $0 (free vaccine) and administration code 0134A at $36.90.
03Submit all claims to Gainwell Technologies for professional claims or Optum Rx for pharmacy claims, not to managed care plans.
04Resubmit any previously denied claims with dates of service on or after Oct 12, 2022.
Codes mentioned
91313
Original notice
BT202398: IHCP expands coverage for Moderna COVID-19 booster vaccine and administration codes
in.gov · Always check the source before changing claims.
Related changes
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