Medicaid Coverage of COVID-19 and RSV Vaccines

Under the Inflation Reduction Act (IRA), Medicaid is still required to cover approved COVID-19 vaccines and all other CDC Advisory Committee on Immunization (ACIP) recommended vaccines with no-cost sharing to consumers. However, this requirement does not extend to COVID-19 vaccines that were approved under an emergency use authorization (EUA). In addition, CMS has clarified that non-ACIP recommended vaccines can also be covered with no-cost sharing if deemed medically necessary. For example, if a health care provider recommends an RSV vaccine for an adult over the age of 60, this could be considered medically necessary and therefore would likely be covered.

Read more about vaccine coverage requirements here.