Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.10-011 - Official Notice #ON-006-10 - Procedure Code 90662

SUBJECT: Medicaid Coverage of Procedure Code 90662

Effective for dates of service on or after October 11, 2010, Arkansas Medicaid will reimburse providers for procedure code 90662 for eligible beneficiaries as part of a public health initiative.

Providers must bill procedure code 90662: "Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use". Reimbursement for procedure code 90662 includes the administration of the vaccine. A PCP referral is not required for this service.

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

If you need this material in an alternative format, such as large print, please contact our Americans with Disabilities Act Coordinator at 501-682-0593 (Local); 1-800-482 -5850, extension 2-0593 (Toil-Free) or to obtain access to these numbers through voice relay, 1-800-877 -8973 (TTY Hearing Impaired).

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

Thank you for your participation in the Arkansas Medicaid Program.