Mass Immunization

Learn how to enroll the Mass Immunization specialty.

Information is found in CMS Internet Only Manual (IOM), Publication 100-08, Medicare Program Integrity Manual, Chapter 15 Section 4.6.2
A mass immunizer may not bill Medicare for any services other than pneumococcal pneumonia vaccines (PPVs), influenza virus vaccines and their administration
They must submit claims through the roster billing process
- Roster billing simplifies billing claims by allowing mass immunizers to submit one claim form with a list of several immunized beneficiaries.
The supplier, as well as all personnel who administer the shots, must meet all applicable state and local licensure or certification requirements
Mass immunizers can be one of these types:
- A traditional Medicare provider or supplier, such as a hospital outpatient department
- Shared location with a Pharmacy to administer the vaccines

If completing application via PECOS, ensure application questionnaire is answered correctly. CMS-855B, CMS-588 (Electronic Funds Transfer (EFT)) application will populate.
If completing application via paper, the following must be submitted:
- CMS-855B
- CMS-588 (EFT)
A voided check or signed bank letter is necessary documentation for EFT portion of application
Must include legal business name (LBN) of the enrollment, routing and account number and practice address
Submit application fee
- Fee is required for application. Can be paid on PECOS website
- Select pay application fee on right-hand side under Helpful Links

Currently there are no restrictions for the effective date of the specialty type.

IRS document when:
- Initial enrollment
- A change of legal business name
A voided check or signed bank letter is necessary documentation for EFT portion of application

Last Updated Mar 20 , 2024

Mass Immunization - JE Part B