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April 8, 2021

This was originally posted in the MLN Connects Newsletter for Thursday, April 1, 2021External Website.

COVID-19 Vaccine Administration – No Out-of-Pocket Cost to Patients

If you participate in the CDC COVID-19 Vaccination ProgramExternal Website, you must:

  • Administer the vaccine with no out-of-pocket cost to your patients for the vaccine or administration of the vaccine
  • Vaccinate everyone, including the uninsured, regardless of coverage or network status

You also can't:

  • Balance bill for COVID-19 vaccinations
  • Charge your patients for an office visit or other fee if COVID-19 vaccination is the only medical service given
  • Require additional medical or other services during the visit as a condition for getting a COVID-19 vaccination

Report any potential violations of these requirements to the HHS Office of the Inspector General:

Submit claims for administering COVID-19 vaccines to:

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