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PA Bulletin, Doc. No. 15-168

NOTICES

DEPARTMENT OF
HUMAN SERVICES

Medical Assistance Program Fee Schedule; Addition of Procedure Code for Vaccine Administration

[45 Pa.B. 619]
[Saturday, January 31, 2015]

 The Department of Human Services (Department) announces the addition of the following procedure code to the Medical Assistance (MA) Program Fee Schedule for the administration of a quadrivalent influenza vaccine effective for dates of service on and after February 9, 2015.

Procedure
Code 		Description
90687 Influenza virus vaccine, quadrivalent, split virus, when administered to children 6-35 months of age, for intramuscular use

Background

 The United States Food and Drug Administration (FDA) approved use of Fluzone® Quadrivalent vaccine on December 12, 2013. The Department is adding procedure code 90687 to the MA Program Fee Schedule to identify when a practitioner administers quadrivalent influenza vaccine, including Fluzone® Quadrivalent, to a child 6 months of age or older but under 36 months of age.

 The Department will issue an MA Bulletin to providers enrolled in the MA Program specifying the procedures for billing of the administration of the vaccine.

 The MA fee for the administration of each vaccine is $10 per administration.

Fiscal Impact

 The Department anticipates no fiscal impact as a result of adding procedure code 90687 to the MA Program Fee Schedule, as there is a procedure code on the fee schedule that is being used for the administration of an unspecified vaccine. The addition of this procedure code will not increase utilization.

Public Comment

 Interested persons are invited to submit written comments regarding this notice to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revision to the MA Program Fee Schedule.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

BEVERLY D. MACKERETH, 
Secretary

 Fiscal Note: 14-NOT-933. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 15-168. Filed for public inspection January 30, 2015, 9:00 a.m.]


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