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Vaccines for Children Policy, Professional

Reimbursement policy CMS-1500 policy Number 2022R7109K Proprietary information of UnitedHealthcare Community Plan. Copyright 2022 United HealthCare Services, Inc. 2022R7109K Vaccines for Children policy , Professional IMPORTANT NOTE ABOUT THIS REIMBURSEMENT policy You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT *), Centers for Medicare and medicaid Services (CMS) or other coding guidelines.

For Children program, while reducing inappropriate payments where providers have access to free vaccines for children enrolled in Medicaid and meet all State specific requirements. This policy applies to members under age 19 only (age 18 + 364 days).

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  Programs, Policy, States, Medicaid, Provider, All states

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