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Reimbursement Policy Manual
Policy Title:Modifier SL State Supplied VaccineSection:ModifiersSubsection:Policy #:RPM024NoneScope: This policy applies to the following Medical (including Pharmacy/Vision)
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What is modifier sl- state supplied?
Modifier SL indicates that a drug or biological product was supplied by the state, typically as part of a public health program.
Who is required to file modifier sl- state supplied?
Healthcare providers who dispense or administer state-supplied drugs or biological products must file modifier SL.
How to fill out modifier sl- state supplied?
Modifier SL should be added to the claim line item for the state-supplied drug being billed to indicate its source.
What is the purpose of modifier sl- state supplied?
The purpose is to inform payers that the drug was provided by the state at no cost to the provider, allowing for appropriate reimbursement.
What information must be reported on modifier sl- state supplied?
Information that must be reported includes the identification of the drug or biological product and the modifier SL on the claim form.
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