MedicaidCoverageMedium impact
November 2022 Medicaid Information Bulletin
Utah Medicaid·UT · Family Medicine, General Practice, Internal Medicine +2 more·Government Programs
Effective date
Nov 1, 2022
We identified it
Jun 21, 2026
Summary
Utah Medicaid updated their influenza vaccine coverage policy to align with CDC's 2022-2023 ACIP recommendations, emphasizing vaccination for high-risk groups including children 6-59 months, adults 50+, and those with chronic conditions. The policy provides specific timing guidelines and covers FluMist Quadrivalent for the 2022-2023 flu season.
Action Required
By November 1, 2022: Billing team should review current influenza vaccine billing procedures for Utah Medicaid members to ensure alignment with ACIP recommendations. Verify that adult flu vaccine claims are submitted through pharmacy point of sale, and that pediatric vaccines (18 and under) are obtained through the Vaccines for Children Program. Update provider documentation to reflect high-risk patient prioritization guidelines.