H1N1 Vaccine Reimbursement Policies in Massachusetts

The MMS has canvassed the payers operating in Massachusetts to determine their reimbursement policies for administration of the H1N1 vaccine.

Aetna, Cigna, Fallon, Health New England, Harvard Pilgrim, Medicare, and Network Health have provided their reimbursement policies. We're waiting to hear from Blue Cross, MassHealth, Tufts and Neighborhood Health Plan.

The emerging trend is that payers will reimburse for the administration, but not for the vaccine or supplies, since those are being supplied free of charge by the federal government.

For an overview and the policies and related billing codes, click here.

Reminder: Practice sites wishing to administer the H1N1 vaccine must register with the state by October 9. Click here to visit the state registration site.

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