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Last Modified: 9/14/2021 Location: FL, PR, USVI Business: Part A, Part B

Are you enrolled to bill COVID-19 vaccine and monoclonal antibody administrations?

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 Provider Enrollment Hotline

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:
Institutional:
Hospital
Hospital outpatient department
Skilled nursing facility (includes Parts A and B)
Critical access hospital
End-stage renal disease facility
Home health agency
Hospice
Comprehensive outpatient rehabilitation facility
Federally qualified health center
Rural health clinic
Indian health services facility
Non-Institutional:
Physician
Non-physician
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
NPI
TIN
Practice location and state license, if applicable
For a list of eligible provider types, please see the CMS Enrollment for Administering COVID-19 Vaccine Shots external link webpage.
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 enrollment

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

Additional information

Please visit the CMS Enrollment for Administering COVID-19 Vaccine Shots external link webpage for more information on enrolling to administer the COVID-19 vaccines.
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.