PacificSource Health Plans and PacificSource Community Solutions are notifying providers of COVID-19 vaccine reimbursements for dates of service on or after March 15, 2021.
PacificSource Health Plans
PacificSource Health Plans will utilize adjusted geographic practice cost index (GPCI) rates to determine reimbursement allowances for COVID-19 vaccine administration, which are:
Idaho: $36.59
Montana: $40.11
Oregon: $41.71
Washington: $45.41
PacificSource Community Solutions
PacificSource Community Solutions will utilize the vaccine administration rate of $40.00 for Medicaid members (no GPCI adjustment).