Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.10

A/B MAC (A) - Vaccines and Vaccine Administration -

Last amended: 2006Year: 2006Length: 110 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.10: A/B MAC (A) - Vaccines and Vaccine Administration - | Justis AI