November 5, 2021
Previously, on November 4, 2021, Medi-Cal advised providers to hold claim submission for the administration of the Pfizer-BioNTech primary vaccine series in children 5 through 11 years of age, until appropriate system updates could be implemented to properly adjudicate claims.
As of the publication of this article, Medi-Cal can now accept all Medical, Outpatient, and Pharmacy claims for the administration of the Pfizer-BioNTech COVID-19 vaccine in children 5 through 11 years of age.
For the most current direction regarding billing guidelines for this expanded population, refer to the Pfizer-BioNTech COVID-19 Vaccine web page.
Providers with questions should contact the Telephone Service Center (TSC) Help Desk at 1-800-541-5555, 8 a.m. to 5 p.m., Monday through Friday, except holidays. Border providers and out-of-state billers billing for in-state providers, should call 1-916-636-1200.