COVID-19 Vaccine and/or Monoclonal Antibodies in Rural Health Clinics and Federally Qualified Health Centers

Administration of the COVID-19 vaccine and/or monoclonal antibodies does not qualify as a stand-alone visit. 

• Independent and provider-based RHCs and FQHCs do not include charges for the COVID-19 vaccine and monoclonal antibodies on a claim form.
• If there was another reason for the visit, the RHCs do not report the charges for the vaccine on the 71X claim. However, FQHCs must report these services with their charges on the 77x claim for informational and data collection purposes only.
• Payment is made at the time of the cost report settlement.

Related Content

• COVID-19 web page (also available via our website banner)
• Medicare Billing for COVID-19 Vaccine Shot Administration
• COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
• COVID-19 Vaccine Policies & Guidance
• Federally Qualified Health Centers (FQHC) Center
• Rural Health Clinics Center

Posted 2/24/2021