Bill > S853

This bill amends Chapter 118E of Massachusetts general laws to establish a new requirement for vaccine administration reimbursement rates under Medicaid. Specifically, the bill mandates that reimbursement rates for all immunizations for both adult and child Medicaid-eligible patients must be at least equal to the Centers for Medicare & Medicaid Services (CMS) regional reimbursement rate. This requirement applies to all providers administering vaccines, including those billing through Massachusetts Medicaid immunization payment providers or pharmacy benefit managers. The goal appears to be ensuring fair and consistent compensation for healthcare providers who administer vaccines to Medicaid patients. The bill is set to take effect on January 1, 2026, giving healthcare systems and Medicaid administrators time to prepare for and implement the new reimbursement standard.

Health and Social Services

https://malegislature.gov/Bills/194/S853