MedicaidCoverageMedium impact
High Dose Influenza Vaccine Coverage For 18 to 64-Year-Old Individuals
Kansas Medicaid (KanCare)·KS · Family Medicine, Internal Medicine, Transplant Surgery +1 more·Medical Policy
Effective date
Oct 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid now covers high-dose influenza vaccines for solid organ transplant recipients aged 18-64 on immunosuppressive medications, reimbursing at $83.49 per dose. Coverage includes both vaccine and administration for ages 19+ but only administration for 18-year-olds under VFC.
Action Required
Immediately: Billing team must update system to allow Kansas Medicaid claims for CPT codes 90653 and 90662 for solid organ transplant recipients aged 18-64 on immunosuppressive medications. Set reimbursement rate at $83.49 for each code. Configure system to bill vaccine administration only for 18-year-olds (VFC) but both vaccine and administration for ages 19+. Check KMAP website regularly for rate updates.