| Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | Home Health | | 05/06/2024 | Covered and Noncovered Services : Home Health Skilled Nursing Visits for Medication Management and AdministrationTopic #2103 Home Vaccination
Home health agencies may administer the influenza and pneumococcal vaccines to members who they are currently serving when there is a physician order for the vaccination.
A nurse is required to administer the vaccine during an already scheduled home health skilled nursing visit. Wisconsin Medicaid does not reimburse for a home health skilled nursing visit if administration of the vaccination is the only purpose for the visit.
Providers should submit claims for influenza and pneumococcal vaccinations using the UB-04 claim form. When billing for a vaccine, providers should list both the procedure code appropriate for the type of home health skilled nursing visit (initial or subsequent) and the procedure code for the type of vaccine administered.
Coverage for Influenza Services
The following ForwardHealth programs cover medically necessary influenza services (both 2009 H1N1 and seasonal influenza):
- BadgerCare Plus
- Express Enrollment for Children
- Express Enrollment for Pregnant Women
- Medicaid
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