MedicaidReimbursementMedium impact
KMAP BULLETIN: Monkeypox Vaccine Rate Update
Kansas Medicaid (KanCare)·KS · Family Medicine, Internal Medicine, Pediatrics +1 more·Claims & Billing
Effective date
Apr 1, 2026
We identified it
Jun 21, 2026
Summary
Kansas Medicaid updated monkeypox vaccine reimbursement rates effective April 1, 2026. The vaccine (CPT 90611) will be reimbursed at $270 for patients 19 and older, while patients 18 and under remain VFC eligible with administration-only reimbursement.
Action Required
By April 1, 2026: Billing team must update system with new monkeypox vaccine rate of $270 for CPT 90611 (ages 19+). Ensure administration codes 90460, 90471, 90472 are only billed with corresponding vaccine code to prevent denials. For VFC eligible patients (age 18 and under), bill administration codes only. Monitor KMAP website and KanCare MCO implementation dates as they may vary from state effective date.