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BT202267: IHCP to cover Novavax COVID-19 vaccine and administration
Act
immediately
Effective date
Jul 13, 2022
Identified
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) now covers Novavax COVID-19 vaccine administration for adults 18+ effective July 13, 2022. New billing codes 91304 (vaccine - $0 reimbursement), 0041A and 0042A (administration - $36.90 each) are available with no prior authorization required.
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What to do
immediately · 4 steps
01Billing team must add new COVID-19 vaccine codes to billing system - CPT 91304 (vaccine at $0), 0041A (first dose admin at $36.90), and 0042A (second dose admin at $36.90).
02Submit medical claims to Gainwell Technologies FFS vendor, not managed care plans.
03Link codes to revenue code 636.
04Update encounter forms for providers serving Indiana Medicaid patients age 18+.
Codes mentioned
91304
Original notice
BT202267: IHCP to cover Novavax COVID-19 vaccine and administration
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 & BillingBT202289: IHCP to expand age ranges for Novavax COVID-19 vaccine and administration procedure codesMediumEffective Aug 19, 2022 · Provider BulletinBT2022105: IHCP adds coverage for Novavax COVID-19 booster vaccineMediumEffective Oct 19, 2022 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list