COVID-19 Vaccine Administration Billing Process for NF Providers

November 23, 2021

Texas Department of State Health Services created the COVID-19 Vaccine Program in 2020. It allows qualifying health care facilities to enroll to be a COVID-19 vaccine provider. Medicare or Medicaid will reimburse providers.

For Medicare billing, CMS created a COVID-19 Vaccine Toolkit. It includes guidance for billing Medicare for COVID-19 vaccine shot administration.

To be eligible for reimbursement for Medicaid fee for service long-term care COVID vaccine administration services claims, nursing facilities must enroll with Texas Medicaid and Healthcare Partnership via TexMedConnect or Electronic Data Interchange 837I.

For reimbursement for vaccine administration from Medicaid, nursing facilities must email HHSC Claims Support. The claims support team will begin the process to create the necessary service authorizations.

See the COVID-19 Vaccine Billing Frequently Asked Questions (PDF) for information on the COVID-19 vaccine billing process.