01/30/2023
What is new
Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid was notified, we have until March 11, 2023, to reprocess claims, if applicable, for procedure code Q0222 with dates of service from August 15, 2022, through November 29, 2022, for appropriate payment and claims processing.
Reimbursement
For procedure code Q0222, when it was supplied by the federal or state government, from dates of services August 15, 2022, through November 29, 2022, we must void and rebill for the administration only. Payment received for a government-provided product is considered an overpayment and is subject to recoupment.
Claims Reprocessing
Claims with procedure code Q0222 with dates of service from August 15, 20222 through November 29, 2022, BCBSTX will process claims for appropriate payment and does not require providers to submit an appeal unless they are denied for other reasons after the claims reprocessing is complete.
CMS Medicaid Toolkit Coverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration and Cost Sharing under Medicaid, the Children’s Health Insurance Program, and Basic Health Program.
Questions
Providers, for questions or additional information, please:
- Contact your BCBSTX Medicaid Network team at 1-855-212-1615
- Submit via email Texas Medicaid Network Department
- Sign up to enroll as a COVID-19 vaccinator