The Department of Health Bureau of Health Service Financing announced that effective September 15, 2020, both the Medicaid Fee for Service (FFS) Pharmacy Program and Managed Care Organizations (MCOs) will cover select Advisory Committee on Immunization Practices (ACIP) adult vaccines for beneficiaries over the age of 18. According to the Department, adult vaccines are reimbursed when administered by a pharmacist with the “Authority to Administer” authorized by the Louisiana Board of Pharmacy. The announcement states that Louisiana Medicaid enrolled pharmacies will be reimbursed for the ingredient cost and administration fee when billing adult vaccines administered by a pharmacist. The FFS administration fee for adult vaccines is $15.22 for the first injection, then $9.13 for each additional injection with the same date of service. The FFS administration fee for a nasal vaccine is $10.80. More information can be found here.
For more information, contact NACDS’ Mary Staples at 817-442-1155.