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KMAP BULLETIN: Evusheld™ Emergency Use Authorization Coverage for Ages 12 and Over

Date: 04/15/22

KMAP GENERAL BULLETIN 22055 (PDF)

Effective with dates of service on and after December 8, 2021, Evusheld™ will be covered for ages 12 and older. 

The following HCPCS codes will be allowed for reimbursement:

  • Q0220
  • M0220
  • M0221

For the most current and up-to-date information, please refer to Kansas Medical Assistance Program website here.

Note: The effective date of the policy is December 8, 2021. 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.