MedicaidCoverageMedium impact
KMAP BULLETIN: Coverage of MenACW-TT (Menquadfi) Vaccine for Adults
Kansas Medicaid (KanCare)·KS · Family Medicine, General Practice, Internal Medicine +2 more·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) now covers the MenACW-TT (Menquadfi) vaccine for adults aged 19 and older using CPT code 90619, reimbursed at $166.98. Coverage is retroactive to January 1, 2024, and applies to specific high-risk populations including those with certain medical conditions, travelers, college students, and military recruits.
Action Required
Immediately: Billing team must update system to allow CPT code 90619 for Kansas Medicaid members aged 19 and older with qualifying conditions (asplenia, HIV, complement deficiency, travelers, college students, military recruits). Verify current reimbursement rate of $166.98 and monitor KMAP website for rate updates. Submit any previously denied claims for dates of service from January 1, 2024 forward.