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BT2022105: IHCP adds coverage for Novavax COVID-19 booster vaccine
Act
immediately
Effective date
Oct 19, 2022
Identified
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.
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What to do
immediately · 4 steps
01Billing team must add new CPT code 0044A for Novavax COVID-19 booster administration to billing system with maximum reimbursement of $36.90.
02Always bill with vaccine code 91304.
03Submit all Indiana Medicaid COVID-19 vaccination claims to Gainwell Technologies (professional) or OptumRx (pharmacy), not managed care plans.
04Update encounter forms to include new code for eligible patients 18+.
Codes mentioned
91304
Original notice
BT2022105: IHCP adds coverage for Novavax COVID-19 booster vaccine
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2026182: COVID-19 vaccine administration to no longer be carved out of managed careHighEffective Jan 1, 2027 · Provider BulletinBT202156: Coverage and billing information for the July 2021 HCPCS code updateMediumEffective Jul 1, 2021 · Claims & BillingBT202267: IHCP to cover Novavax COVID-19 vaccine and administrationMediumEffective Jul 13, 2022 · Provider BulletinBT202289: IHCP to expand age ranges for Novavax COVID-19 vaccine and administration procedure codesMediumEffective Aug 19, 2022 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list