Effective for dates of service on or after October 19, 2022, in accordance with the U.S. Food and Drug Administration’s amended Emergency Use Authorization, COVID-19 vaccine administration code 0044A is now a benefit of Medicaid and CHIP for the administration of the Novavax booster dose to individuals 18 years of age or older.

The Texas Health and Human Services Commission (HHSC) will cover procedure code 0044A as non-risk payments.

Vaccine procedure code 91304 will continue to be informational only while the vaccine is distributed to providers free of charge.

Procedure code 0044A is a benefit of Medicaid and CHIP for the following providers and places of service:

Place of ServiceProvider Type
OfficePhysician Assistant (PA), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Physician, Pharmacist, Certified Nurse Midwife (CNM), Federally Qualified Healthcare Centers (FQHCs), Nephrology (Hemodialysis, Renal Dialysis), Rural Health Clinics (RHCs), Pharmacy
HomePA, NP, CNS, Physician, Home Health Agency, Comprehensive Care Program (CCP) Provider
Outpatient HospitalsFQHCs, Hospitals, Nephrology (Hemodialysis, Renal Dialysis), Renal Dialysis Facility, RHCs
Other LocationsPA, NP, CNS, Physician, FQHCs, CCP Provider, RHCs

As of October 19, 2022, procedure code M0201 (COVID-19 vaccine administration inside a patient’s home) can be billed in the home setting with procedure code 0044A for individuals 18 years of age or older.

If you are interested in enrolling as a COVID-19 vaccinator, visit www.dshs.texas.gov/coronavirus/immunize/provider-information.aspx for more information.

Beginning September 1, 2024 Community First Health Plans, Inc. will be adding STAR+PLUS to its line of health care products.

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