MedicaidCoverageMedium impact
MSA 21-10
Michigan Medicaid - MDHHS·MI · Pediatrics, Family Medicine, Pharmacy·Provider Bulletin
Effective date
May 8, 2021
We identified it
Jun 20, 2026
Summary
Michigan is expanding the Vaccines for Children (VFC) program to allow participating pharmacies to administer all recommended vaccines to children ages 3-18 starting May 8, 2021. Pharmacies will bill Medicaid Fee-for-Service for administration fees only, as vaccines are provided at no cost through VFC.
Action Required
Before May 8, 2021: Billing team should verify that any pharmacy partners participating in VFC are Medicaid-enrolled and submit vaccine administration claims through the MDHHS contracted Pharmacy Benefits Manager (PBM). Update billing processes to ensure pharmacies bill only administration fees (not vaccine costs) for children ages 3-18. Note that vaccines are exempt from copayments and dispensing fees are not paid.