KMAP BULLETIN: HPV Vaccine Coverage

Date: 02/26/19

KMAP GENERAL BULLETIN 19032 (PDF)

Effective with dates of service on and after March 1, 2019, the recombinant human papillomavirus (HPV) vaccine (such as Gardasil® 9) billed under CPT® code 90651, will be covered for men and women from 9 to 45 years of age.

Reimbursement of CPT codes for vaccines covered under the Vaccines for Children (VFC) program will not be allowed for children 18 years of age and younger.

Note: The effective date of the policy is March 1, 2019. The implementation of State policy by the KanCare managed care organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates, once the policy is implemented.