‍ Introduction

The Department of Vermont Health Access has recently implemented changes to its payment system for Covid-19 vaccine administration fees. This move aims to facilitate easier access to the vaccine for Vermonters on Medicaid, particularly in pharmacies. The administration fee for the Covid-19 vaccine is higher compared to other vaccines, and previously, pharmacies had to go through a rebilling process to cover the fee difference. However, the department has now streamlined the payment process, eliminating the need for rebilling. This article will delve into the details of this new payment system and its implications for Medicaid recipients in Vermont.

The Covid-19 Vaccine Administration Fee

Andrea DeLaBruere, the commissioner of the Department of Vermont Health Access, highlighted that the administration fee for the Covid-19 vaccine is higher than that of other vaccines. Previously, pharmacies were required to rebill the department to receive the additional payment for administering the Covid-19 vaccine. However, starting from Thursday, the department began paying the higher Covid fee directly without the need for the rebilling process. This change simplifies the payment procedure for pharmacies and ensures that they are adequately compensated for their services.

Improved Access for Medicaid Recipients

Medicaid recipients in Vermont, aged 19 and older, can now receive the Covid-19 vaccine in pharmacies without a copay. The department’s coding updates enable all Vermont Medicaid recipients to access the vaccine without any financial barriers. While Medicaid already covers the cost of childhood vaccinations, including Covid vaccinations, through the Vaccine for Children program, the department was not previously aware of any pharmacies participating in the program. With the new payment system, pharmacies can now offer Covid-19 vaccinations to Medicaid recipients, expanding access to this crucial vaccine.

Overcoming Challenges in Vaccine Rollout

The rollout of the Covid-19 vaccine in pharmacies and provider offices has faced several challenges. Limited appointment availability has been a significant hurdle, making it difficult for individuals to schedule their vaccination. Additionally, some insurers do not cover the vaccine at certain pharmacies due to them being out-of-network. To address these issues, the Department of Vermont Health Access provides a list of vaccine providers on vaccines.gov, allowing individuals to identify participating pharmacies and provider offices. This resource helps streamline the process of finding a suitable vaccination location.

Assistance for the Uninsured

Individuals without insurance coverage or those whose insurance does not include Covid vaccination may still have options to get vaccinated. The federal Bridge Access Program, as suggested by the health department, could provide a solution for those who fall into these categories. This program aims to ensure that even individuals facing insurance-related challenges can access the Covid-19 vaccine. By leveraging the Bridge Access Program, more Vermonters can benefit from the vaccine’s protection, regardless of their insurance situation.

Conclusion

The Department of Vermont Health Access has taken a significant step forward in improving the payment system for Covid-19 vaccine administration fees. By eliminating the rebilling process, pharmacies can now seamlessly receive the higher Covid fee, facilitating better access to the vaccine for Medicaid recipients. This change, coupled with efforts to address appointment availability and insurance coverage challenges, will contribute to a more efficient and inclusive vaccination rollout in Vermont. With these advancements, more individuals can protect themselves and their communities by receiving the Covid-19 vaccine.