Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.09-044 - Official Notice DMS-2009-A-3, DMS-2009-AR-2, DMS-2009-G-2, DMS-2009-II-3, DMS-2009-L-3, DMS-2009-KK-2, DMS-2009-R-3, DMS-2009-OO-2 - Vaccines for Children Program (VFC)

I. Background Information

The purpose of this official notice is to inform Arkansas Medicaid providers of coverage of the following vaccine under the Vaccines for Children (VFC) program effective for dates of service on and after May 26, 2009.

II. Coverage

90732, "Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use." This vaccine is covered under the VFC program for beneficiaries age 2 years to 18 years. Coverage and billing for ages 19 years and above is unchanged.

III. Billing Instructions

Billing of 90732 may be submitted electronically or on paper claims. VFC Billing instructions for this procedure code:

For information about participation as a Vaccines for Children provider, contact the Arkansas Department of Health at 501-661-2170 and reference your provider manual.

Thank you for your participation in the Arkansas Medicaid Program.

If you need this material in an alternative format, such as large print, please contact our Americans with Disabilities Act Coordinator at 501-682-8323 (Local); 1-800-482 -5850, extension 2-8323 (Toil-Free) or to obtain access to these numbers through voice relay, 1-800-877 -8973 (TTY Hearing Impaired).

If you have questions regarding this notice, please contact the EDS Provider Assistance Center at In-State WATS 1 - 800-457-4454, or locally and Out-of-State at (501) 376-2211.

Arkansas Medicaid provider manuals, official notices and remittance advice (RA) messages are available for downloading from the Arkansas Medicaid website: www.medicaid.state.ar.us.