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Public Notice: Due to the MMIS conversion the last provider payment from Conduent was issued on February 27. There will be no payment issued on March 6, and the first post‑conversion payment will be issued on March 13. For more information visit https://medicaid.dc.gov/

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Transmittal 21-37 Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccines – Addition of Third Doses for Pfizer and Moderna Vaccines for Immunocompromised People


Wednesday, September 8, 2021

This transmittal provides notice of coverage and reimbursement for fee-for-service providers that bill HCPCS and CPT codes on CMS-1500 claim forms for COVID-19 vaccine administration in the professional fee schedule, and for providers enrolled in Medicaid Managed Care Organization (MCO) networks.

This transmittal amends guidance provided in Transmittal # 21-26: Professional Services Billing Codes and Reimbursement Rates for COVID-19 Vaccine issued June 30, 2021, to add the codes and rates for the third doses of the Pfizer and Moderna vaccines.