Pennsylvania Issues Updated MA Bulletin on COVID-19 Vaccine

On June 10, the Pennsylvania Department of Human Services (DHS) issued MA Bulletin 08-20-68 Addition to Medical Assistance Program Fee Schedule for Administration of Ready-to-Use SARS-CoV-2 Vaccine. The bulletin informs Medical Assistance (MA) providers that DHS added Current Procedural Terminology (CPT) codes 0051A, 0052A, 0053A, and 0054A to the MA Program Fee Schedule for the administration of the ready-to-use novel coronavirus (SARS-CoV-2) vaccine manufactured by Pfizer, Inc. The language in this MAB was revised to clarify that FQHCs and RHCs may not bill for the COVID-19 vaccine they receive at no cost; however, they may bill for the administration of the vaccine they receive at no cost.