Commercial - For dates of service on or after March 15, 2021, PacificSource Health Plans will utilize GPCI adjusted rates to determine allowables for COVID vaccine administration.
PacificSource Community Solutions (PSCS) will utilize the vaccine administration rate of $40.00 for Medicaid members (no GPCI adjustment). Prior to March 15, 2021 PSCS will reimburse based on CMS rates. Please see Oregon Medicaid COVID-19 Guide for specific Vaccine Reimbursement details. Oregon Medicaid COVID-19 Provider Guide
Note: Any claims processed with a GPCI adjustment will be reprocessed.