Yes, providers can administer vaccine materials that are still viable even if they have been discontinued from previous grids. If the CPT code is not
Why is the SL modifier not added to the vaccine codes on the DBA?
The SL modifier is NOT used for vaccines funded by the WVA for privately insured children under the age of 19. The SL modifier is only used for
Will my admin claim be denied if the vaccine code isn’t included?
No. Do not include the vaccine codes on your administration claim as this will cause the payer to view the DBA as a duplicate claim and deny payment
What steps are necessary by a Provider office if a DBA is denied?
Providers must correct any provider demographic, patient eligibility, or other errors, and then re-submit both the administration claim and DBA to the
How would providers set up their billing systems to submit DBAs?
Providers need to contact their EMR/billing software vendor to ensure their billing systems and clearinghouse connections are: Set up accurately
What steps must providers follow to comply with WVA requirements?
Enroll in the WA DOH Childhood Vaccine Program (CVP). Set up electronic billing systems for DBAs. Verify and document patient eligibility per