DATE: Revised August 27, 2024
TO: WVA Providers and Payers
INFLUENZA UPDATE
The FDA and CDC have switched the influenza formulation from a quadrivalent to trivalent formulation for the fall/winter 2024/25 respiratory season. The CDC has released the influenza CPT and NDC codes for the fall/winter 2024/25 respiratory season. The codes are now posted to the WVA Vaccine Assessment Grid.
Until June 30, 2024 dates of service, all influenza vaccines have a WVA Vaccine Assessment Grid amount that varies. After July 1, 2024 the WVA Vaccine Assessment Grid amount will be $18.00 for all influenza vaccines.
FEE SCHEDULE COVID-19 UPDATE
Since September 14, 2023, COVID-19 vaccines have been available to order from the Washington State Childhood Vaccine Program (CVP) and providers are required to use the WVA Dosage-Based Assessment (DBA) billing process for commercially insured patients under the age of 19. COVID-19 and all other vaccines are found on the WVA Vaccine Assessment Grid.
The CDC has released the COVID-19 CPT and NDC codes for the fall/winter 2024/25 respiratory season. They are posted to the WVA Vaccine Assessment Grid. The CPT codes remain the same, and all NDC codes have changed effective August 23, 2024 dates of service.
Until June 30, 2024, all COVID-19 vaccines have a WVA Vaccine Assessment Grid amount of $105.00 and after July 1, 2024 the WVA Vaccine Assessment Grid amount will be $113.00. Please update your fee schedules.
RSV UPDATE
After July 1, 2024, the RSV monoclonal antibody – Beyfortus™ (nirsevimab) – requires the WVA dosage-based assessment (DBA) and had been added to the WVA Vaccine Assessment Grid.
CONTACTS
WA DOH CONTACTS FOR PROVIDERS can be found here
WVA CONTACTS:
compliance@wavaccine.org for Payers
info@wavaccine.org for Providers