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PA Bulletin, Doc. No. 13-968



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

[43 Pa.B. 2968]
[Saturday, May 25, 2013]

 In accordance with 55 Pa. Code § 1150.61(a) (relating to guidelines for fee schedule changes), the Department of Public Welfare (Department) announces the addition of the following procedure code to the Medical Assistance(MA) Program Fee Schedule for the administration of a cell culture influenza vaccine, effective for dates of service on and after May 28, 2013.

Description MA Fee
90661 Influenza virus vaccine, derived  from cell cultures, subunit,  preservative and antibiotic
 free, for intramuscular use

 The United States Food and Drug Administration approved use of Flucelvax®, an influenza virus vac-cinederived from cell cultures, on November 20, 2012. The Department is adding procedure code 90661 to the MA Program Fee Schedule to identify when a practitioner administers Flucelvax®.

 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.

Fiscal Impact

 The Department anticipates no fiscal impact as a result of adding procedure code 90661 to the MA Fee Schedule, as there is an existing procedure code on the fee schedule that is being used for the administration of an unspecified vaccine and 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 Public Welfare, 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).

Acting Secretary

Fiscal Note: 14-NOT-817. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 13-968. Filed for public inspection May 24, 2013, 9:00 a.m.]

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