Update to Publication 100-04, Chapter 18 and Publication 100-02, Chapter 15, Section to Add Data Regarding Novel Coronavirus (COVID-19) And Its Administration to Current Claims Processing Requirements and Other General Updates

The purpose of this change request (CR) is to establish payment processing instructions for the COVID-19 (hereafter referred to as COVID-19) vaccines and their administration. Medicare payments for the COVID-19 vaccines and their administration will be made in the same manner as influenza and pneumococcal vaccines.

Policy: Pursuant to Section 3713 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), once the Food and Drug Administration has approved a COVID-19 vaccine, the vaccine, and its administration, will be added to the list of preventive vaccines that are covered under Medicare Part B without coinsurance or deductible. The CARES Act provision amended Section 1861(s)(10)(A) of the Social Security Act.

Source: https://www.cms.gov/files/document/r11355CP.pdf#page=32