MedicaidBilling CodesMedium impact
BT2022105: IHCP adds coverage for Novavax COVID-19 booster vaccine
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Oct 19, 2022
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) now covers Novavax COVID-19 booster vaccines for adults 18+ using new administration code 0044A paired with vaccine code 91304. No prior authorization required, and claims are reimbursed at $36.90 maximum fee.
Action Required
Immediately: Billing team must add new CPT code 0044A for Novavax COVID-19 booster administration to billing system with maximum reimbursement of $36.90. Always bill with vaccine code 91304. Submit all Indiana Medicaid COVID-19 vaccination claims to Gainwell Technologies (professional) or OptumRx (pharmacy), not managed care plans. Update encounter forms to include new code for eligible patients 18+.