Pharmacies can now bill Medicaid for vaccines administered to children enrolled in the Medicaid program, regardless of the pharmacy’s participation in the Vaccines for Children (VFC) program. The change is a result of a rule recently adopted and effective as of March 9, 2023. The rule revised the VFC program regulatory requirements by deleting the language in Section 2 of 907 KAR 1:680 that had previously expressly prohibited Medicaid from “making] payment to a provider for the cost of a vaccine available through the Vaccines for Children Program.” Please reference the As Amended Proposed Rule to see the changes as engrossed in the FInal Rule.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.