Starting November 1, in an effort to boost vaccination rates in Ohio, Ohio’s Medicaid Managed Care Plans (MCPs), increased the provider administration fee for all doses of COVID-19 vaccines to $100 through Friday, December 31.
In addition, a member gift card program was established for Ohio Medicaid Managed Care and MyCare members aged 5 years and older to receive $100 for getting the first dose of the vaccine (or the single dose of Johnson & Johnson). The enhanced provider reimbursement and member gift card programs are part of the MCPs’ Vax on the Spot campaign to encourage members to get vaccinated.
- On June 10, the vaccination administration fee for the first dose was increased to $100.
- As of November 1, the vaccination administration fee will apply to all doses delivered between November 1 and Friday, December 31, dates of service.
- Federally Qualified Health Centers, Rural Health Centers, and Qualified Family Planning providers will also receive an administration fee increase through the bonus payment process.
- Ohio MCPs encourage providers to promote the vaccine with members as part of the Vax on the Spot campaign and have developed resources below to help.
- The member gift card program began on June 10, initially offering $50 for the first dose to Ohio Medicaid and MyCare members 18 years and older.
- As of July 26, the gift card amount was increased to $100 for members 18 and older and later expanded to 12 years and older.
- In November, the $100 member gift card program expanded once again to include members 5 years and older.
- This program will end Friday, December 31. Please note that at this time the Pfizer vaccine approval is for ages 16 and older and emergency use authorization is in place for children 5-15.
Please access the following resources for more information about the vaccination programs:
Please reach out to your MCP’s Provider Services Call Center for any questions:
Aetna Provider Services 1.855.364.0974 |
Buckeye Health Plan Provider Services 1.866.296.8731 |
CareSource Provider Services 1.800.488.0134 |
Molina Healthcare Provider Services 1.855.322.4079 |
Paramount Advantage Provider Services 1.800.891.2542 |
United Healthcare Provider Services 1.800.600.9007 |