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

Related CR Release Dates: January 16, 2025 & December 18, 2025
MLN Matters Number: MM13923 Revised
Effective Date: July 1, 2025 
Related Change Request (CR) Numbers: CR 13923 & CR 14254
Implementation Date: July 7, 2025 
Related CR Transmittal Numbers: R13055CP, R13547BP & R13547CP

What’s Changed? CMS added links to the additional manual updates from CR 14254; clarified reimbursement after cost reporting; and updated the CR release dates, transmittal numbers, and transmittal links.

CR 13923 tells you about:

  • Hepatitis B vaccines are paid like other Medicare 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 and Benefit Policy manuals

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 Jan 08 , 2026