Mandatory Medicaid and Children’s Health Insurance Program Coverage of Adult Vaccinations under the Inflation Reduction Act
The Centers for Medicare & Medicaid Services (CMS) is issuing this guidance on section 11405
of the Inflation Reduction Act (IRA) (Pub. L. 117-169). Beginning October 1, 2023, statutory
amendments made by section 11405 of the IRA require Medicaid and Children’s Health
Insurance Program (CHIP) coverage and payment for approved adult vaccines recommended by
the Advisory Committee on Immunization Practices (ACIP) and their administration, without
cost sharing.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 27, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.