Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Institutional Providers: Additional Information

Guidance for institutional provider facility and bill types, RHC billing information, and FQHC billing information

Final

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

Issue Date: August 21, 2020

RHC Billing Information

  • Don’t include influenza vaccine and administration on your claim
  • CMS pays for influenza vaccine and administration through the cost report

 

FQHC Billing Information

  • List charges for the vaccine and administration on a separate claim line from the billable visit
  • Don’t bill if you only provided vaccine administration
  • CMS pays for influenza vaccine and administration through the cost report

 

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

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.