State & FederalMedicaidNovember 30, 2020

Flu vaccination reimbursement

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

Effective November 1, 2020, Empire BlueCross BlueShield HealthPlus (Empire) now reimburses both capitated and fee-for-service contracted providers for flu vaccine services.

 

We are aligning our reimbursement policy with the New York State Department of Health’s communication regarding flu vaccine codes and will reimburse for the following CPT® codes:

 

90653

90654

90656

90658

90674

90682

90685

90686

90673

90672

90756

90662

90630

90687

90688

90694

 

If you provided flu vaccine service to an Empire member prior to receipt of this notice and did not include the service on the claim, please submit a corrected claim (not a new claim) with the applicable code(s) to receive both the additional reimbursement and the credit for the quality measure.

 

If you have questions about this communication or need assistance with any other item, call Provider Services at 1-800-450-8753.

 

NYE-NU-0266-20 October 2020

 

PUBLICATIONS: December 2020 Empire Provider News