Last Modified: 9/14/2021
Location: FL, PR, USVI
Business: Part A, Part B
CMS expanded the pool of providers that can administer the COVID-19 vaccines and monoclonal antibodies (mAbs) during the public health emergency. You must be enrolled in the Medicare program to perform and bill for these services. This article explains the types of providers that must separately enroll and how to fast track your enrollment.
Note: When vaccines are provided by the government free of charge, you may only bill for the administration. Do not include the vaccine codes on the claim when they have been obtained for free.
First Coast established the Provider Enrollment Hotline to fast track health care provider enrollment for providers eligible to bill COVID-19 vaccines and mAb administration in Jurisdiction N (JN), which includes Florida, Puerto Rico, and the U.S. Virgin Islands. The hotline representatives are available at 1-855-247-8428 from 8:30 a.m.-4 p.m. ET to assist you with initiating temporary Medicare billing privileges. After dialing the hotline number, you must press option 1 to speak with a JN representative.
Below are all supplier types who do not need to separately enroll to bill for COVID-19 vaccine administrations as you are already eligible to bill for COVID-19 related services:
• Hospital outpatient department
• Skilled nursing facility (includes Parts A and B)
• Critical access hospital
• End-stage renal disease facility
• Home health agency
• Comprehensive outpatient rehabilitation facility
• Federally qualified health center
• Rural health clinic
• Indian health services facility
• Clinic/group practice
• Pharmacy (enrolled as Part B)
• Mass immunizer (roster bill only)
If you are not on the above list, you must temporarily enroll to bill for COVID-19 vaccine and mAb administrations via the hotline.
If you’re calling to initiate temporary billing privileges, you will receive the approval or rejection decision during the call, followed by a decision letter. Please ensure you have all necessary information available at the time of the call:
• Legal business name
• Practice location and state license, if applicable
Note: If you are not currently enrolled as a mass immunizer and plan to submit roster bills, you must enroll as a mass immunizer. Temporary billing privileges can be initiated via the provider enrollment hotline.
Centralized billing allows for mass immunizers to submit roster bill claims to one MAC. To be a centralized biller, you must operate in at least three MAC jurisdictions. The MAC for centralized billing enrollment is Novitas.
To become a centralized biller, please contact the Novitas Provider Enrollment Hotline at 1-855-247-8428. Have the following information available for the call:
• Estimate of how many patients to whom you expect to administer the COVID-19 shot
• Approximate dates of shots
• List of states for COVID-19 vaccination clinics
• Type of services you generally deliver other than preventive vaccinations, if any
• If you employ nurses who will administer the COVID-19 shot or if you hired them specifically to give these shots
• Names and addresses of all entities operating under provider application
• Contact information for the centralized billing program designated contact
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.