Medicare AdvantageCoverageMedium impact
COVID-19 vaccine mandate effective January 1, 2022
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
CMS requires Medicare Advantage Organizations and Medicare-Medicaid Plans to cover COVID-19 vaccines and administration (including boosters) without cost sharing effective January 1, 2022. Billing teams must ensure no copays, deductibles, or coinsurance are collected for vaccine services.
Action Required
Effective January 1, 2022: Billing team must update system settings to ensure zero patient cost sharing for all COVID-19 vaccine and administration services for Medicare Advantage and Medicare-Medicaid Plan members. Verify billing software automatically applies 100% coverage for vaccine CPT codes. Contact ProviderRelations@bcbsri.org with questions.