New Pennsylvania Bulletin Notification 08-24-15 FQHC/RHC Payment for SARS-CoV-2 Vaccine Administration

The purpose of this bulletin is to advise Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) that the Pennsylvania Department of Human Services is continuing the alternative payment methodology to pay the Medical Assistance Program Fee Schedule rate for the administration of the novel coronavirus (SARS-CoV-2) vaccine during a SARS-CoV-2 vaccine-only visit. In addition, this bulletin contains an updated The PROMISe™ Provider Handbook 837 Professional/CMS-1500 Claim Form, Appendix E – FQHC/RHC Handbook (FQHC/RHC Handbook) to clarify the payment methodology for vaccine-only visits.