December 28, 2023

State of Alabama
Press Release: Medicaid

COVID-19 Vaccine Codes Added to VFC List

PDF Version



TO:  Providers Authorized for Vaccine Administration (Non-Pharmacy Providers)

 

RE:   COVID-19 Vaccine Codes Added to VFC List

 

 

Effective for dates of service on or after October 25, 2023, Medicaid has added the following COVID-19 vaccine codes to the Vaccines for Children (VFC) listing:

                    

Procedure Code

Description

VFC Rate

91304

SARSCOV2 VAC 5MCG/0.5ML IM

$8.00

91318

SARSCOV2 VAC 3MCG TRS-SUC

$8.00

91319

SARSCOV2 VAC 10MCG TRS-SUC IM

$8.00

91320

SARSCOV2 VAC 30MCG TRS-SUC IM

$8.00

91321

SARSCOV2 VAC 25MCG/0.25ML IM

$8.00

91322

SARSCOV2 VAC 50MCG/0.5ML IM

$8.00

 

Medicaid enrolled providers should not bill for the vaccine if using federally-allocated vaccines.

 

To participate in the administration of VFC products, Alabama providers must enroll in the Alabama Department of Public Health (ADPH) ImmPRINT Program. Follow the steps in the ImmPRINT to enroll.

 

Providers must follow state and federal laws and regulations regarding administration of the vaccine, as well as state and federal standing order guidelines for products granted Emergency Use Authorization (EUA).

 

Providers with policy questions may contact Medicaid’s Physician Program at Physicians.Program@medicaid.alabama.gov.

 

Providers with billing questions should contact the Gainwell Technologies Provider Assistance Center at 1-800-688-7989.



The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2023 American Medical Association and © 2023 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.

 



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