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BT202287: IHCP updates age ranges for Moderna COVID vaccine and administration codes
Act
immediately
Effective date
Jun 17, 2022
Identified
Jun 19, 2026
Summary
IHCP expanded Moderna COVID-19 vaccine coverage to ages 6-17 and updated age ranges for existing codes. Three new administration codes (0091A, 0092A, 0093A) were added for the 6-11 age group with $36.90 reimbursement.
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What to do
immediately · 3 steps
01Update billing system to include new Moderna COVID-19 administration codes 0091A, 0092A, and 0093A for ages 6-11 years with $36.90 reimbursement rate.
02Verify age restrictions are properly configured for all Moderna vaccine codes.
03Submit professional claims to Gainwell Technologies (FFS) and pharmacy claims to OptumRx for both managed care and FFS members.
Codes mentioned
9130191309
Original notice
BT202287: IHCP updates age ranges for Moderna COVID vaccine and administration codes
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT202361: IHCP removes coverage for Pfizer and Moderna monovalent COVID-19 vaccine codesMediumEffective Apr 18, 2023 · Medical PolicyBT2020129: IHCP receives COVID-19 vaccine HCPCS update from CMS and AMAMediumEffective Dec 11, 2020 · Claims & BillingBT202129: DDRS waiver providers to provide COVID-19 vaccines to eligible FSW and CIH waiver membersMediumEffective Apr 8, 2021 · Specialty ServicesBT202237: Additional COVID-19 vaccine and administration codes covered for Moderna second booster shotsMediumEffective Mar 29, 2022 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list