MedicaidBilling CodesMedium impact
BT202267: IHCP to cover Novavax COVID-19 vaccine and administration
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
Effective date
Jul 13, 2022
We identified it
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.
Action Required
Immediately: Billing 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). Submit medical claims to Gainwell Technologies FFS vendor, not managed care plans. Link codes to revenue code 636. Update encounter forms for providers serving Indiana Medicaid patients age 18+.