SHPBN-2016-090 Non-Coverage of FluMist
Fecha: 12/12/16
Effective with dates of service on and after January 1, 2017, FluMist will no longer be a product reimbursed by Kansas Medicaid. The codes used for billing FluMist are 90660, 90664 and 90672. Related NDCs are as follows:
- 66019010001
- 66019010101
- 66019010201
- 66019010401
- 66019010501
- 66019010601
- 66019010701
- 66019010810
- 66019010910
- 66019011010
- 66019030010
- 66019030101
- 66019030110
- 66019030201
- 66019030210
- 66019030301
- 66019030310
- 66019020010
FluMist, a live attenuated influenza vaccine administered intranasally will be rendered non-covered. Per a recommendation to the CDC by their advisory board, supported by the American Academy of Family Physicians and the American Academy of Pediatrics, FluMist should not be used during the 2016-2017 influenza season. This non-coverage would be for administration to any age but this is generally considered for usage with the pediatric population. The KDHE Immunization Section Chief is in agreement with this action.
If you have questions about this bulletin or other provider resources, please contact our Customer Service at 1-877-644-4623.