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Medicare Payment for COVID-19 Vaccines

Analysis  |  By Revenue Cycle Advisor  
   November 23, 2020

For vaccines requiring two or more doses, the agency will pay $16.94 for the first dose and $28.39 for the last dose.

A version of this article was first published November 23, 2020, by HCPro's Revenue Cycle Advisor, a sibling publication to HealthLeaders.

Q: How much will Medicare pay for FDA-approved or emergency use authorized COVID-19 vaccines?

A: CMS will pay $28.39 to administer a single dose vaccine.

For vaccines requiring two or more doses, the agency will pay $16.94 for the first dose and $28.39 for the last dose, according to the CMS toolkit.

CMS said it hopes to enroll new Medicare providers, including pharmacies and other “mass immunizers” to help bring the vaccine to all Medicare beneficiaries.

For more information, see "Note from the instructor: Good news regarding COVID-19 vaccines and treatments," by Valerie A. Rinkle, MPA, CHRI.

Revenue Cycle Advisor combines all of HCPro's Medicare regulatory and reimbursement resources into one handy and easy-to-access portal. News is not just repeated from other sources. It is analyzed by our Medicare experts so professionals can comprehend any new rule and regulatory updates thoroughly. Learn more.


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