State & FederalMedicaidDecember 1, 2021

COVID-19 Vaccine Provider Incentive program

Getting vaccinated against COVID-19 is one of the best and safest ways people can protect themselves and their families against the virus. As a participating practice in the COVID-19 Provider Vaccine Incentive program, we recognize your hard work by offering incentives for helping patients make the choice to become vaccinated.

 

Eligibility

The COVID-19 Vaccine Provider Incentive program is open to you if you are a participating Kentucky primary care provider with an Anthem Blue Cross and Blue Shield Medicaid (Anthem) panel size of 25 or more members. All Anthem members identified as receiving COVID-19 vaccination services are included in the methodology. Vaccine results will be determined by a COVID-19 vaccine claim or by confirmation from the Kentucky Vaccine Registry.

 

The results will be calculated for two time periods:

  • September 1, 2021 – Initial incentive payment
  • December 31, 2021 – Final incentive payment

 

How you can qualify for a bonus

If your practice meets the below thresholds for vaccination with at least one dose by September 1, 2021, you will receive the initial incentive payment based on the following rates:

  • 30% Anthem members vaccinated – $20 bonus per vaccinated member
  • 40% Anthem members vaccinated – $45 bonus per vaccinated member
  • 50% Anthem members vaccinated – $70 bonus per vaccinated member
  • 60% Anthem members vaccinated – $100 bonus per vaccinated member
  • 75% Anthem members vaccinated – $125 bonus per vaccinated member

 

The final incentive payment is calculated based on members who are newly vaccinated between September 1, 2021 and December 31, 2021 (click here to view the Appendix for calculation examples). If your practice meets the below thresholds for vaccination with at least one dose by December 1, 2021, you will receive the final incentive payment based on the following rates:

  • 30%Anthem members vaccinated – $100 bonus per newly vaccinated member
  • 40% Anthem members vaccinated – $150 bonus per newly vaccinated member
  • 50% Anthem members vaccinated – $175 bonus per newly vaccinated member
  • 60% Anthem members vaccinated – $200 bonus per newly vaccinated member
  • 75% Anthem members vaccinated – $250 bonus per newly vaccinated member

 

When you will receive your bonus

The first payment will be sent by electronic funds transfer or check based on the payment method used for claim reimbursement. Please allow 7 to 10 business days to receive payment. If you have not received it within that timeframe, reach out to a Provider Experience Consultant at 800-205-5870, option 3. The second payment will be generated on or before January 31, 2022.

 

Visit https://providers.anthem.com/kentucky-provider/communications/covid-19-updates for more information about the COVID-19 Vaccine Provider Incentive program. We greatly appreciate your partnership and look forward to working with you in the future.

 

AKY-NU-0360-21 (AKYPEC-2982-21)