Medicaid vaccine reimbursement

Medicaid reimbursement

Priority Health's coverage and reimbursement for children and adults is consistent with State of Michigan Medicaid billing procedures. It is currently under review; call for the most updated information.

• VFC program: Priority Health reimbursement assumes your participation in the federal Vaccine For Children (VFC) program. We update our coverage annually based on VFC updates.
• Priority Health will reimburse you for administration of vaccines available under the VFC Vaccine Replacement program. Bill both the administration code and the immunization code.
• Bill for immunizations even when no reimbursement is expected. This helps provide a record of service which ensures Medicaid patients are getting a proper level of care.