CHA News

CMS Increases Payments for Administration of At-Home COVID-19 Vaccinations

For CFOs, finance & reimbursement staff

This post has been archived and contains information that may be out of date.

The Centers for Medicare & Medicaid Services (CMS) has announced an additional payment amount for administering in-home COVID-19 vaccinations to homebound Medicare beneficiaries.  

CMS will pay an additional $35 per dose for COVID-19 vaccine administration in a beneficiary’s home, increasing the total payment amount for at-home vaccination from approximately $40 to approximately $75 per vaccine dose. For a two-dose vaccine, this results in a total payment of approximately $150 for the administration of both doses, or approximately $70 more than the current rate. 

The additional payment is meant to help address the costs and challenges providers face with administering the vaccine in a beneficiary’s home.  

CMS posted an infographic on Medicare payment for in-home COVID-19 vaccine administration that includes a discussion of billing in the patient’s home. Additional details are available on the Medicare COVID vaccine page