June 29, 2022

Louisiana Medicaid: Updates to pneumococcal vaccine policy

The Louisiana Department of Health (LDH) updated the pneumococcal vaccine policy effective Jan. 1, 2022. 

Update
The policy adds coverage for the following:

  • 90677: Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use
  • 90671: Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use

Additional doses exceeding the listed quantities may be covered if deemed medically necessary. Please be aware of this policy change when treating patients and filing claims. Visit UHCprovider.com/claims for more information about our claims process. 

Next steps
No action is required for accurately submitted claims affected by the updated policy. Please be aware of this policy change when treating patients and filing claims. 

Questions?
For answers to specific coverage or claims questions call Provider Services at 866-675-1607, 7 a.m.– 7 p.m. CT, Monday–Friday. You can also refer to our claims process for more information, or LDH also offers provider resources.

PCA-1-22-02119-C&S-News_06292022