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Vaccines for Adults Enrolled in Medicaid: Access, Coverage, and Payment

Vaccine coverage for Medicaid enrollees varies by population. Children enrolled in Medicaid receive vaccines through the Vaccines for Children program; however, vaccines are considered an optional benefit for some adults, but are mandatory for others.

In September 2020, the Commission discussed vaccine coverage for Medicaid-enrolled adults and expressed interest in continuing work on this subject. In this presentation, staff provided background on Medicaid coverage of vaccines and the barriers to vaccine access for adults enrolled in Medicaid.

The presentation described the project work plan for the upcoming year. Staff then provided findings from a new analysis of National Health Interview Survey data on adult vaccination rates. Finally, staff presented a policy framework for assessing federal policy options that could help improve vaccination coverage and access for Medicaid-enrolled adults.