COVID-19 Vaccine Information

Agewell New York is committed to providing you with the most up-to-date information regarding the COVID-19 vaccine program.

Vaccination Phases

All individuals five years of age and older that reside in the United States are eligible to receive the vaccine.

For the NYS phased distribution of the vaccine, click here.

Registration and Ordering Information for Providers

Prior to administering the vaccination, all providers in New York State will need a CIR or NYSIIS account, depending on their location.

For NYC providers, click here. For NYS providers outside of NYC, click hereopens PDF file .opens PDF file

Providers in NYC may order the vaccine through the CIR and NYS providers outside NYC through the NYSIIS. For questions, call the NYSDOH Bureau of Immunization at 1-518-473-4437 or the NYSDOH COVID-19 hotline at 1-888-364-3065.

Providers are encouraged to enroll in VaccineFinder once they are approved and have received the vaccine.

Reporting Requirements

Providers must record details of the vaccination into their system of record within 24 hours, and into the applicable public health system within 72 hours.

Medicare Advantage Coverage and Reimbursement

For calendar years 2020 and 2021, Medicare payment for the COVID-19 vaccine and its administration for beneficiaries enrolled in AgeWell New York MAPD plans will be made through the original fee-for-service Medicare program. Providers must submit claims for administering the COVID-19 vaccine to the CMS Medicare Administrative Contractor (MAC) using product-specific codes for each vaccine approved.

Consumers enrolled in a non-grandfathered group or individual health insurance coverage can receive the vaccine and its administration free of charge from a network provider, and during the COVID-19 PHE, can receive the vaccine and its administration free of charge from an out-of-network provider. Providers are prohibited by agreement with the U.S. Government from billing patients for the vaccine or its administration, including balance billing.

Helpful Links

• • Medicare Billing for COVID-19 Vaccine Shot Administration
  • New York State COVID-19 Vaccine Information for Providers
    • You can also email NYSDOH COVID-19 Vaccine Program at covid19vaccine@health.ny.govcreate new email

For more information, contact 1-866-237-3210 or email providers@agewellnewyork.comcreate new email.