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October 29, 2020
State of Alabama
Press Release: Medicaid
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TO: All Pharmacy Providers
RE: Free
Influenza Vaccine Provided by Alabama Department of Public Health
The Alabama Medicaid
Agency, in conjunction with the Alabama Department of Public Health (ADPH), will
allow reimbursement of a vaccine administration fee to Alabama Medicaid
pharmacy providers who utilize free influenza vaccines provided by the federal
government. Please see the guidelines and policies below for administering the
free vaccines to Alabama Medicaid patients:
Use all privately purchased vaccines first.
Free supplemental influenza vaccine cost can’t be reimbursed,
but an administrative fee can be requested. When
billing a Medicaid recipient for the free vaccine, no ingredient cost or
dispensing fee should be included on the claim. A $5.00 administration fee
may be submitted. Pharmacies
should submit the administration fee in the Incentive Amount Submitted field
(NCPDP Field 438-E3) on the same claim as the vaccine (i.e. ingredient). Recoupments
may occur if it is determined that a free supplemental vaccine was administered
to a Medicaid patient and an ingredient cost and dispensing fee were submitted
on the claim. All administered vaccines must be entered into ImmPrint via
interface or manually within 72 hours.
For more information, visit
the ADPH guidance here: https://www.alabamapublichealth.gov/immunization/assets/fluvaccine_adult.pdf
Additional
policy questions concerning this provider notice should be directed to the
Alabama Medicaid Pharmacy Program at (334) 242-5050.
For more information, visit http://medicaid.alabama.gov
For more state-wide press releases, click here
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