Submitting dosage-based assessments (DBA) claims with WVA is easy. The WVA Private Insurance Assessment Billing Provider Guide is a PDF which contains the information required to be compliant with the WVA’s governing statute and Plan of Operation in an easy to follow brochure.
If your provider practice is unsure whether a DBA is required, please refer to the State of Washington Department of Health’s (DOH) Eligibility for Publicly Funded Vaccines: A Guide for Providers available in PDF form. This document is also found on the DOH’s Patient Eligibility web page.
A Hospital Billing Workgroup was established in late 2023, comprised of hospitals, payers, WA DOH staff, and WVA staff. The Workgroup developed the WVA Hospital Inpatient Billing Guide intended for hospitals and payers to ensure their respective billing and adjudication systems can support the DBA process no later than July 1, 2024. For additional information, click here.
Additional Coding Supports:
AAP Coding and Valuation: Contains resources to navigate coding rules.
AAPC Knowledge Center: Search Knowledge Center box on the right to type in a subject such as “COVID Vaccines” and it will bring up short articles in date order.
AMA CPT Codes: The CPT Practice Management page provides the latest coding information through articles, essential CPT tools and resources, and a search function to find articles specific to CPT codes.