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

80.4.1 - A/B MAC (B) - Vaccines and Vaccine Administration - Coverage Policy (Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06) Pneumococcal Pneumonia Vaccinations The Medicare Part B program covers PPV and its administration when furnished in compliance with any applicable State law by any provider of services or any entity or individual with a supplier number. This includes revaccination of patients at highest risk of pneumococcal infection. Typically, these vaccines are administered once in a lifetime except for persons at highest risk. See Chapter 18 of Pub. 100-04, Medicare Claims Processing Manual for more information on this benefit. Hepatitis B Vaccine The Medicare Part B program provides coverage of hepatitis B vaccine and its administration, furnished to a Medicare beneficiary who is at high or intermediate risk of contracting hepatitis B. See Chapter 18 of Pub. 100-04, Medicare Claims Processing Manual for more information on this benefit. Influenza Virus Vaccine The Medicare Part B program covers influenza virus vaccine and its administration when furnished in compliance with any applicable State law by any provider of services or any entity or individual with a supplier number. Typically, these vaccines are administered once a year in the fall or winter. Medicare does not require, for coverage purposes, that a doctor of medicine or osteopathy order the vaccine. Therefore, the beneficiary may receive the vaccine upon request without a physician’s order and without physician supervision. See Chapter 18 of Pub. 100-04, Medicare Claims Processing Manual for more information on this benefit.