Mass Immunization

Learn how to enroll the Mass Immunization specialty.

Mass Immunization

  • 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

Billing

Application Completion

  • 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:
  • 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

Effective Dates

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

Supporting Documents

  • 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 Thu, 03 Nov 2022 17:44:36 +0000