Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.10
A/B MAC (A) - Vaccines and Vaccine Administration -
100.10 - A/B MAC (A) - Vaccines and Vaccine Administration -
Payment Policy
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Effective January 1, 2006, IHS providers, including CAHs are paid separately from the
AIR for certain vaccines and their administration. See Chapter 18 of Pub. 100-04,
Medicare Claims Processing Manual for more information on the payment of PPV,
influenza virus, and hepatitis B vaccines. The administration of vaccines is paid based on
the MPFS.
The Medicare Part B deductible and coinsurance does not apply to PPV and influenza
vaccines. The Medicare Part B deductible and coinsurance are applied to the hepatitis B
vaccine, but are waived by the IHS.