KMAP BULLETIN: Influenza Vaccine Coverage 2025-2026 Season Updates

Date: 12/29/25

Effective with dates of Service retroactive to September 1, 2024, Kansas Medicaid will cover the following Trivalent Influenza vaccination codes for the listed age ranges.

Vaccine Codes:

Code	Covered Age	Rate*
90656	6 months & older	• $22.35 (for 19 and above) • VFC (for 18 and younger)
90660	2 to 49 years	• $29.71 (for 19 and above) • VFC (for 18 and younger)
90673	9 years & older	• $98.16 (for 19 and above) • VFC (for 18 and younger)

Code

Covered Age

Rate*

90656

6 months & older

• $22.35 (for 19 and above)

• VFC (for 18 and younger)

90660

2 to 49 years

• $29.71 (for 19 and above)

• VFC (for 18 and younger)

90673

9 years & older

• $98.16 (for 19 and above)

• VFC (for 18 and younger)

Vaccine Administration Codes:

90460
90471
90472
90473
90474

*Note: The Medicaid reimbursement rates for vaccines and vaccine administrations will remain the same for the above eligible members. Providers should check the Kansas Medical Assistance Program (KMAP) website for the most up-to-date rates.

Billing Notes:

Vaccines for Children (VFC) coverage applies only to 18-year and younger individuals and reimbursement will be for vaccine administration only.
Providers will be reimbursed for the non-VFC vaccine administration rate and the vaccine cost for patients 19 years of age and older.
The Vaccination Administration rate remains the same regardless of the route of administration.

Correct coding guidelines, as well as Food and Drug Administration (FDA) and Centers for Disease Control (CDC) recommendations must be followed.

CDC recommendations can be found here.

Note: The effective date of the policy is September 1, 2024. 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.

For changes resulting from this bulletin, view the updated General Benefits Fee-for-Service Provider Manual, pages 2-36 and 2-37 and Home Health Agency Fee-for-Service Provider Manual, pages AI-3 and AI-4.