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Today, the Centers for Medicare & Medicaid Services (CMS) released guidance to states outlining new mandatory coverage requirements for approved adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) and their administration, without cost sharing. Beginning October 1, 2023, statutory amendments made by section 11405 of the Inflation Reduction Act (IRA) require Medicaid and Children’s Health Insurance Program (CHIP) coverage and payment for these services. The guidance also outlines the requirements that states must meet in order to claim a one percentage point increase in the federal medical assistance percentage (FMAP) for these services.
For more information on Medicaid and CHIP coverage of adult vaccinations, please see the letter to states and the fact sheet.
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