MedicaidAdministrativeMedium impact
Vaccines for Children Program – Pharmacy Providers
Missouri Medicaid (MO HealthNet)·MO · Pediatrics, Family Medicine·Pharmacy
Effective date
Nov 23, 2022
We identified it
Jun 20, 2026
Summary
MO HealthNet pharmacy providers who are not enrolled in the VFC (Vaccines for Children) program cannot administer vaccines to MO HealthNet participants covered under the VFC program. Only VFC-enrolled providers can immunize MO HealthNet children for VFC vaccines, and they can bill $5.27 per component for administration using specific VFC Administration Codes.
Action Required
Immediately: Verify VFC enrollment status for all pharmacy providers administering vaccines to MO HealthNet children. Non-VFC enrolled pharmacy providers must stop billing for vaccine administration to VFC-eligible MO HealthNet participants. Use only VFC Administration Codes (not specified in policy) for billing vaccine administration at $5.27 per component reimbursement rate. Contact Missouri VFC Program at 866-256-3166 for enrollment requirements if needed.