19 – 20 years
Those Medicaid members nineteen (19) through twenty (20) years of age may
receive vaccines through their health care provider. SHP will reimburse the
cost of the vaccine and the administration fee as per the provider’s contract.
For eligible members ages nineteen (19) through twenty (20) years of age who
lack evidence of immunity (e.g., lack documentation of vaccination), or require
the vaccinations, the following vaccines and combination vaccines are
reimbursable:
Hepatitis A Meningococcal conjugate (MCV4)
Hepatitis B Meningococcal Polysaccharide (MPSV4)
HPV Pneumococcal Polysaccharide (PPV)
Influenza Td
MMR Varicella
21 and older
SHP covers immunizations services for members who are twenty-one (21) years of
age or older only when medically necessary for the member’s health (not for
travel or work-related).
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