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Waiver of Coinsurance and Deductible for Hepatitis B Preventive Service Vaccine Code, Section 4104 of the Patient Protection and Affordable Health Care Act (the Affordable Care Act), Removal of Barriers to Preventive Services in Medicare

This new Article comprises Subregulatory Guidance for home health agencies and other institutional providers that bill Medicare Administrative Contractors (MACs) for Hepatitis B vaccine services they provide to Medicare patients. Specifically, this applies to those providers billing Medicare for Hepatitis B vaccine using Types of Bill (TOB) 012X, 013X, 022X, 023X, and 034X, effective for dates of service on or after April 1, 2018.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 12, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.