Payment for Medicare Part B Preventive Vaccines & Their Administration for RHCs & FQHCs

Related CR Release Date: January 16, 2025
MLN Matters Number: MM13923
Effective Date: July 1, 2025
Related Change Request (CR) Number: CR 13923
Implementation Date: July 7, 2025
Related CR Transmittal Number: R13055CP

CR 13923 tells you about:

  • Hepatitis B vaccines are paid like other Part B preventive vaccines starting January 1, 2025
  • New claim-based payments for Part B preventive vaccines and their administration are starting July 1, 2025
  • Updates to the Medicare Claims Processing Manual, Chapter 18, section 10.2

Make sure your billing staff knows about the vaccine payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13923.

Last Updated Feb 14 , 2025