Bill > H1392

This bill amends Chapter 118E of Massachusetts state law to establish minimum reimbursement rates for vaccine administration under Medicaid. Specifically, the bill requires that reimbursement rates for providers administering vaccines to both adults and children who are Medicaid-eligible must be at least equal to the Centers for Medicare & Medicaid Services (CMS) regional reimbursement rate. This requirement applies to billing through Massachusetts Medicaid immunization payment providers or pharmacy benefit managers, ensuring that healthcare providers receive fair compensation for administering vaccines. The bill is designed to preserve and protect public health by potentially incentivizing more providers to offer vaccinations and making vaccine administration more financially sustainable. The provisions of this bill will take effect on January 1, 2026, giving healthcare systems and Medicaid administrators time to prepare for the new reimbursement guidelines.

Health and Social Services

https://malegislature.gov/Bills/194/H1392