MedicaidReimbursementMedium impact
MSA 20-65
Michigan Medicaid - MDHHS·MI · Family Medicine, Pediatrics, General Practice +2 more·Provider Bulletin
Effective date
Oct 1, 2020
We identified it
Jun 20, 2026
Summary
Michigan Medicaid temporarily increases vaccine administration reimbursement to 100% of Medicare rates through December 30, 2020, and allows pharmacies to bill for influenza vaccine costs for children 3+ and administer vaccines at new locations including COVID-19 testing sites.
Action Required
Immediately: Update billing system with new vaccine administration rates ($13.76 for primary codes, $12.38 for add-on codes) effective October 1, 2020 through December 30, 2020. Add new places of service for COVID-19 testing sites, drive-through locations, and mobile vans for vaccine billing. Pharmacy billing staff should verify influenza vaccine coverage at michigan.magellanrx.com for pediatric patients.