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Managed Care Entity Bulletin 139: Coverage of COVID-19 Vaccines

MassHealth·MA · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Not stated
We identified it
Jun 18, 2026
Days to comply
—

Summary

MassHealth confirms continued coverage of COVID-19 vaccines with no cost to members, and pharmacies can now bill for 2025-2026 COVID-19 vaccines through updated pharmacy processing systems. Pharmacies experiencing billing issues should contact their respective ACPP or MCO pharmacy help desks.

Action Required

Action needed
Immediately: Billing team should verify that pharmacy processing systems are updated to allow billing for 2025-2026 COVID-19 vaccines. If experiencing billing issues, contact the appropriate ACPP or MCO pharmacy help desk using numbers found in Appendix A of Pharmacy Facts 236 (December 2024). Ensure all COVID-19 vaccinations continue to be billed with no cost-sharing to MassHealth members.

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