COVID-19 Vaccine Provider Agreement Still in Effect

Posted in COVID-19, Senior Living

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

While we recognize that the COVID-19 vaccine program is in a transitional phase, we would like to remind providers that the COVID-19 Vaccine Provider Agreement is still in effect until the new vaccine formulations are available. Providers signed this agreement stating they would adhere to the following: 

  • Must administer COVID-19 Vaccine at no out-of-pocket cost to the recipient.  
  • May not deny anyone vaccination based on the vaccine recipient’s coverage status or network status. 
  • May not charge an office visit or other fee if COVID-19 vaccination is the sole medical service provided. 
  • May not require additional medical services to receive COVID-19 vaccination. 
  • May seek appropriate reimbursement from a program or plan that covers COVID-19 Vaccine administration fees for the vaccine recipient, such as:  
  • vaccine recipient’s private insurance company. 
  • Medicare or Medicaid reimbursement.  
  • May not seek any reimbursement, including through balance billing, from the vaccine recipient. 

This notification was issued on Thursday, July 20, 2023 and can also be viewed here.