Flu Season Alert!Alerta de temporada de influenza:
Don’t let germs win this season – protect yourself and your family!
The flu vaccine is your best defense against flu and related complications – PLUS, it is a covered benefit for Texas Children’s Health Plan members! Learn more!
¡No permitas que los gérmenes ganen esta temporada! ¡Protégete a ti y a tu familia!
La vacuna contra la influenza es tu mejor defensa contra la influenza y sus complicaciones. Además, ¡es un beneficio cubierto para los miembros de Texas Children's Health Plan! Aprende más
Updates to Vaccine Administration Procedure Code M0201
Date: February 26, 2024
Attention: All Providers
Effective: January 1, 2024
Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers that effective January 1, 2024, vaccine administration add-on procedure code M0201 may be billed in the home setting with the following procedure codes:
90630
90636
90654
90655
90656
90657
90658
90660
90661
90662
90670
90671
90672
90673
90674
90677
90682
90685
90686
90687
90688
90694
90697
90723
90732
90739
90740
90743
90744
90746
90747
90756
90759
M0201 will be payable as an add-on code if billed with any of these vaccines, along with the existing COVID-19 vaccine administration procedure code, if administered inside a client’s home.
TCHP will reprocess affected claims submitted with the M0201 procedure code and date of service on or after January 1, 2024. Providers are not required to appeal the claims unless they are denied for other reasons after the claims reprocessing is complete. Providers may bill TCHP retroactively for procedure code M0201.
Next step for providers: Providers should share this information with their staff.
