Reimbursement for Vaccines and Vaccine Administration Under Medicare Part D

Vaccine Administration under the Part D Program starting January 1 st , 2008. The Tax Relief and Health Care Act (TRHCA) of 2006 modified the definition of a Part D drug to include “for [Part D] vaccines administered on or after January 1, 2008, its administration .” Consequently, beginning on January 1, 2008, the Part D program will cover vaccine administration costs associated with Part D vaccines. Thus, the reimbursement currently available in 2007 under Part B will cease and reimbursement will be available solely under Part D.

CMS has outlined a number of options for Part D plans to consider regarding access to Part D vaccines and their administration. Beneficiaries should call their Part D plan in advance and inquire about what method works best for them.

Providers with questions about Part D vaccines and their administration can learn more through the following MedLearn Article:
New:
SE0727 – Reimbursement for Vaccines and Vaccine Administration Under Medicare Part D
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0727.pdf
Provider Types Affected: Physicians, pharmacists, health care professionals, suppliers, and their staff.