COVID-19 Vaccine Reimbursement

January 15, 2021

COVID vaccine distribution (shots in the arms) is being organized at a state level. Per the CDC, each state has identified the COVID Vaccine point of contact within the state. If you do not know who that is, I would highly recommend you reach out to your state’s office of Rural Health and they should be able to tell you who within the state government is responsible for COVID vaccine administration.I cannot emphasize enough that each has developed a COVID vaccine distribution plan for that state and it will vary from state-to-state so it is imperative that you work through your state. Most states appear to be using some form of a registry whereby individual providers enroll with the state to be approved for COVID vaccine administration. This allows the state to track distribution, administration and collect patient data for the second round of vaccine administration. In addition, the registry allows the state to be sure you have the necessary storage capability for the vaccines to prevent waste or spoilage.

Depending on the type of vaccine, it comes in vials of five or 10 doses per vial. Once a vial has been prepared, you have a limited amount of time (approx. 6 – 8 hours) in which to administer the vaccine before it spoils. So the state will also want assurances that you have the capability to administer the vaccines you will receive in order to avoid waste or spoilage.

If you are approved by your state for COVID vaccine administration, you will be notified as to when to expect a shipment generally a few days in advance of it arriving at your clinic. Each state has developed a prioritization for whom the vaccines should go and you will be asked to administer the vaccines based on that priority designation. Each state has developed their own schedule so you need to know your state’s priorities and not rely on national media accounts.

I have been told by those RHCs that have received vaccines that they generally have been notified a few days in advance of the date of an allocation, the type of vaccine (Pfizer or Moderna) and when to expect it’s arrival. This allows the site to schedule appointments for vaccine administration either at the RHC or an offsite location that can handle larger numbers of people.
Hope this helps.

Bill Finerfrock
bf@capitolassociates.com

7 November, 2024 21:16

NARHC has been engaging with CMS over the last year in an attempt to resolve the CPT Category II code issue for RHCs, including through a letter to the CMS Administrator. We are very pleased to report that CMS recently issued a CMS Change Request to allow Category II...

read more
5 November, 2024 15:38

Dear RHC Community, On November 1, the Centers for Medicare and Medicaid Services (CMS) issued the CY 2025Medicare Physician Fee Schedule (MPFS) Final Rule. NARHC is very pleased to report that the rule finalizes several Rural Health Clinic (RHC) specific policy...

read more
27 September, 2024 16:44

Dear RHC Community, We hope you will join us for our free, upcoming technical assistance webinar, Strengthening Rural Health: The Role of HPV Vaccination, in partnership with St. Jude Children’s Research Hospital HPV Cancer Prevention Program. Rural life is a choice...

read more
16 September, 2024 18:32

Hello RHC Community! The American Telemedicine Association is celebrating the week of September 16th as “Telehealth Awareness Week.” NARHC is pleased to add its voice to the important discussion about how telehealth is used by the over 5,500 Rural Health Clinics...

read more
30 July, 2024 13:12

Free Webinar, Thursday August 15th The Centers for Medicare and Medicaid Services (CMS) recently released the 2025 Medicare Physician Fee Schedule (MPFS)Proposed Rule. This annual regulatory update contains a significant section specifically for RHCs, this year...

read more
11 July, 2024 11:56

Dear RHC Community, The Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Physician Fee Schedule (MPFS) Proposed Rule. As a reminder, this annual rule provides regulatory updates to the fee schedule and also contains a significant section...

read more
27 June, 2024 14:40

RHC Community, We hope you will join us for our free, upcoming technical assistance webinar, HHS Finalizes Section 1557 Nondiscrimination Rule –Impacts for RHCs. The Department of Health and Human Services (HHS), through the Office of Civil Rights (OCR) recently...

read more
19 June, 2024 17:53

As Congress approaches the December 31st deadline to extend Medicare telehealth flexibilities, key committees in Congress have advanced differing pieces of legislation that will dictate federal telehealth policy in the years ahead. Since 2020, the use of telehealth...

read more
16 May, 2024 12:54

Dear RHC Community, Over the last several weeks, the HHS Office of Civil Rights (OCR), Centers for Medicare and Medicaid Services (CMS), Department of Labor (DOL), and the Federal Trade Commission (FTC) all released massive final rules covering policies ranging from...

read more
2 May, 2024 13:00

CMS newly updated booklet for RHCs! The attached booklet provides updates on: RHC patient services Care management services Specifically, the booklet provides updated billing information for new RHC provider types and services: Marriage and Family Therapists (MFTs)...

read more