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 12 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 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.

Important Information Regarding Vaccine Dosage

In some cases, two doses of the vaccine need to be administered 21 to 28 days apart. The second dose must be from the same manufacturer as the first dose. Appointment reminders will be critical to ensure compliance with vaccine dosing intervals to achieve optimal effectiveness. Providers should schedule a patient’s second-dose appointment when administering their first dose.

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 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

• • CMS Toolkit on COVID-19 Vaccineopens PDF file
  • CMS COVID-19 Vaccine Policies and Guidance
  • Medicare Billing for COVID-19 Vaccine Shot Administration
  • COVID-19 Vaccination Program Interim Playbook for Jurisdiction Operationsopens PDF file
  • CDC COVID-19 Vaccination Communication Toolkit
  • Medicare Monoclonal Antibody COVID-19 Infusion Program Instructionopens PDF file
  • 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 866-586-8044 or email providers@agewellnewyork.comcreate new email.