Payment Procedures for Renal Dialysis Facilities (RDF)

10.2.4 - Payment Procedures for Renal Dialysis Facilities (RDF) (Rev. 11355; Issued:04-14-22; Effective:05-16-22; Implementation:05-16-22) MACs processing institutional claims pay for pneumococcal, influenza virus, hepatitis B and COVID-19 vaccines for freestanding RDFs based on the lower of the actual charge or 95 percent of the average wholesale price and based on reasonable cost for provider- based RDFs. Deductible and coinsurance do not apply for pneumococcal, influenza virus, hepatitis B and COVID-19 vaccines. MACs must contact their professional claims processing staff to obtain information in order to make payment for the administration of these vaccines.