MedicaidCoverageMedium impact
KMAP BULLETIN: Coverage Expansion for MMRV Vaccine (Code 90710)
Kansas Medicaid (KanCare)·KS · Pediatrics, Family Medicine, General Practice·Coding
Effective date
Mar 16, 2026
We identified it
Oct 1, 2026
Summary
Kansas Medicaid (KMAP) expanded MMRV vaccine (Code 90710) coverage to include children aged 0-47 months (previously limited to older ages). Providers now have flexibility to administer either the MMRV combo vaccine or separate MMR and Varicella vaccines when both are indicated at the same visit. This retroactive policy is effective March 16, 2026.
Action Required
By March 16, 2026: Billing team must update coding protocols and billing software to reflect expanded MMRV vaccine (CPT 90710) coverage for children aged 0-47 months on Kansas Medicaid plans. Ensure billing system recognizes that providers can bill either CPT 90710 (MMRV combo) or CPT 90707 (MMR) + CPT 90716 (Varicella) separately when both vaccines are indicated at the same visit. Update encounter forms and provider guidance to document vaccine selection. Verify KanCare MCO implementation status on the KMAP Bulletins page before processing claims, as MCO system implementation dates may vary from the state policy effective date. Claims submitted with incorrect coding or prior to MCO implementation may be denied or require reprocessing.