DEPARTMENT OF HUMAN SERVICES
Addition to the Medical Assistance Program Fee Schedule for the Administration of a Booster Dose of the SARS-CoV-2 Vaccine Manufactured by Moderna, Inc.
[52 Pa.B. 6936]
[Saturday, November 5, 2022]
In accordance with 55 Pa. Code § 1150.61(a) (relating to guidelines for fee schedule changes), the Department of Human Services (Department) announces the addition of the following procedure code to the Medical Assistance (MA) Program Fee Schedule for the administration of a booster dose of the novel coronavirus (SARS-CoV-2) vaccine manufactured by Moderna, Inc. The effective date and MA Fee are indicated as follows.
Moderna, Inc. 0094A Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease (COVID-19)) vaccine, mRNA-LNP, spike protein, preservative free, 50 mcg/0.5 mL dosage; booster dose 3/29/22 $40
The MA Program Fee Schedule has been updated with the new Current Procedural Terminology (CPT) code to allow for payment of the administration of a booster dose of the SARS-CoV-2 vaccine manufactured by Moderna, Inc.
The Department issued an MA Bulletin to enrolled providers to advise them of the addition of the CPT code for the administration of a booster dose of the SARS-CoV-2 vaccine manufactured by Moderna, Inc. to the MA Fee Schedule.
There is no fiscal impact associated with the addition of this procedure code.
Interested persons are invited to submit written comments to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, P.O. Box 2675, Harrisburg, PA 17120, RA-PWMAProgComments@ pa.gov. Comments received within 30 days will be reviewed and considered for any subsequent revision of the MA Program Fee Schedule.
Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
Fiscal Note: 14-NOT-1544. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 22-1708. Filed for public inspection November 4, 2022, 9:00 a.m.]
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