Texas Department of State Health Services (DSHS) will provide the H1N1 flu vaccine free of charge. Refer to www.TexasFlu.org for information in obtaining the vaccine. To be reimbursed for the administration of the H1N1 flu vaccine, providers must include on the claim the pandemic flu vaccine procedure code 90663, which will process as informational only, and must also include the appropriate vaccine administration code.

The CSHCN Services Program will reimburse for administration of the intranasal or injected H1N1 vaccine. When billing with procedure code 90663 for intranasal or injection of H1N1 vaccine, providers must use injection administration procedure code 90465, 90466, 90471, or 90472.

The CSHCN Services Program will reimburse the administration fee for up to two doses per client, any provider, when the doses are given on different dates following the Advisory Committee on Immunization Practices (ACIP) guidelines (see www.cdc.gov//flu/professionals).

Administration of the H1N1 flu vaccine will be reimbursed separately from an office visit. 

For more information, call the TMHP-CSHCN Contact Center at 1-800-568-2413.