MedicaidCoverageMedium impact
Pediatric Vaccine Counseling Now Covered for Medicaid and Child Health Plus Members
Healthfirst·Pediatrics, Family Medicine·Provider Update
We identified it
Jun 20, 2026
Summary
Medicaid and Child Health Plus now cover pediatric vaccine counseling services. Medical billing teams can now submit claims for vaccine counseling sessions provided to children covered under these plans, expanding billable services for pediatric practices.
Action Required
Immediately: Review full policy documentation at source URL to identify specific CPT codes for vaccine counseling, documentation requirements, and billing procedures. Update billing system to allow vaccine counseling claims for Medicaid and Child Health Plus pediatric patients. Train billing staff on new coverage criteria and required documentation.