MVP COVID19 Vaccine Reimbursement and Coding

February 25, 2021

COVID-19 Vaccine Reimbursement and Coding

MVP Health Care® (MVP) is covering approved COVID-19 vaccines at no cost-share to Members in all plans. Please follow the guidance below when submitting for reimbursement for administration of the COVID-19 vaccine.


MVP Members in Medicare Plans

Providers should bill Medicare Fee-for-Service (FFS) directly for the vaccine and administration of the vaccine to MVP Members enrolled in Medicare Advantage in 2020 and 2021. Reimbursement submitted to MVP for these Members will be denied.


MVP Members in Commercial and Medicaid Plans

When COVID-19 vaccine doses are provided by the government without charge, only bill for the vaccine administration. MVP will reimburse Participating Providers and out-of-network providers for the administration of the vaccine when the following codes shown in the full bulletin.  Use the Read More button below to view the full bulletin.


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