Skip to main content
NC Medicaid logo NC Medicaid

Topical Navigation

  • Home
  • Beneficiaries
  • Meetings & Notices
  • Find a Doctor
  • Providers
  • Counties
  • Reports
  • ABOUT US
  • NC.GOV
  • NCDHHS
  • SERVICES
NC Medicaid »   Home »   blog

SPECIAL BULLETIN COVID-19 #211: Pfizer-BioNTech Booster Dose: Minimum Age Change; Permission to Administer Five Months Post-Second Dose FDA expands use of single booster dose to include ages 12-15

January 10, 2022

The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for the Pfizer-BioNTech COVID-19 Vaccine to expand the use of a single booster dose to include use in individuals age 12 through 15 (previously approved for ages 16 and older). 

The FDA also shortened the time between the second Pfizer dose and the booster shot to five months (previously recommendation was at six months after primary series) for all ages.

Beginning Jan. 3, 2022, Medicaid and NC Health Choice will cover the Pfizer-BioNTech Covid-19 vaccine booster dose for administration to individuals age 12 and older and five months after the administration of the second dose (for all ages). Payment amount for administration code 0004A will be equivalent as for the administration of other doses of the COVID-19 vaccine.

Please follow all other conditions of claims billing as mentioned in Bulletin #186 to process claims appropriately. 

CONTACT

NCTracks Contact Center: 800-688-6696

This blog is related to:

  • Bulletins
  • COVID-19
  • Pharmacy Providers
  • Physicians, Physician Assistants and Nurse Practitioners

Related Articles

  • NC Medicaid Electronic Visit Verification Update for Providers Using a Third Party / Alternate EVV Vendor
  • Enhanced Medical Home Payments for Advanced Medical Homes Serving Members Eligible for Tailored Care Management
  • Pharmacy Point of Sale Process at Tailored Plan Launch
  • NC Medicaid Managed Care Provider Update – Aug. 4, 2022
  • SPECIAL BULLETIN COVID-19 #263: New NC Medicaid Webpage to Help Prepare for End of the Federal Public Health Emergency
  • Home Health Electronic Visit Verification Stakeholder Engagement Meeting
  • Vaccine Administration Codes Reimbursement Update
  • Reprocessed Nursing Facility Claims with March 2020 Date of Service Range Requiring Provider Adjustments
  • Provider Reverification Requirements to be Reinstated at End of Federal Health Emergency
  • Independent Lab Reimbursement Changes Effective Aug. 1, 2022
  • Provider Webinar: Monkeypox Update
  • Endoscopy Code Family Updated in NCTracks
  • SPECIAL BULLETIN COVID-19 #262: Extension of Flexibility for Opioid Treatment Program Take-Home Dosing Update
  • FQHC Radiology Services Reimbursement Methodology Revision
  • SPECIAL BULLETIN COVID-19 #261: New Moderna Pediatric Vaccine Codes

Share this page:

  • Facebook
  • Twitter
  • Email
Back to top

Contact Information

NC Medicaid
Division of Health Benefits

2501 Mail Service Center
Raleigh, NC 27699-2501
 
NC Medicaid Contact Center
Phone: 888-245-0179
Monday-Friday 8 a.m. to 5 p.m.
Closed on State holidays. 
 
Visit RelayNC for information about TTY services. 
 
More
 

Recent Tweets

Tweets by @ncdhhs

Follow Us

  • Facebook
  • Twitter
  • YouTube
  • LinkedIn
  • EMPLOYEE DIRECTORY
  • TRANSLATION DISCLAIMER
  • Accessibility
  • Terms of Use
  • Privacy Policy
  • Open Budget
NC Medicaid
https://medicaid.ncdhhs.gov/blog/2022/01/10/special-bulletin-covid-19-211-pfizer-biontech-booster-dose-minimum-age-change-permission-administer