The vaccine itself will be paid for through funding authorized by the Coronavirus Aid, Relief, and Economic Security (CARES) Act. Administration of the vaccine by a provider (network and non-network during the PHE) will be covered for both commercial and Medicare Advantage members.
For Calendar Years 2020 and 2021, Medicare payment for the COVID-19 vaccine and its administration for beneficiaries enrolled in Medicare Advantage plans will be made through the original fee-for-service Medicare program. Submit claims for administering the COVID-19 vaccine to the CMS Medicare Administrative Contractor (MAC) using product-specific codes for each vaccine approved.
For a provider to receive and administer the COVID-19 vaccine, the Department of Health requires that you:
- Be credentialed/licensed in Pennsylvania
- Sign and agree to the conditions in the CDC COVID-19 Vaccination Program Provider Agreement
- Fully complete the CDC COVID-19 Vaccination Provider Profile form for each location where the COVID-19 vaccine will be administered
We encourage you to access the Department of Health's website for additional details.