Influenza Vaccine Coverage for 2026-2027 Season
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Announces Kentucky Medicaid coverage under the pharmacy benefit for identified 2026-2027 seasonal influenza vaccine products and provides retroactive billing guidance and contact information for Kentucky fee-for-service and MCO providers.
The 2026-2027 influenza vaccine products are added to the Kentucky Medicaid Vaccine List for coverage under the pharmacy benefit.
Retroactive billing dates specified for listed vaccines.
Additional influenza vaccine products and brand names may be added; providers should consult the Kentucky Vaccine List on the MedImpact Provider Portal for current coverage.
Coverage Criteria
Covered influenza vaccines and retroactive billing
MedImpact lists the influenza vaccine products identified for coverage under the Kentucky Medicaid pharmacy benefit for the 2026–2027 season; providers may bill retroactively as specified.
Retroactive billing guidance
- Claims for Fluad, Fluarix, Flublok, Flucelvax, and Fluzone may be billed retroactively for dates of service on or after July 17, 2026.
- Claims for Fluzone HD may be billed retroactively for dates of service on or after July 24, 2026.
Vaccine Products and Availability
| Fluad | Fluad |
| Fluarix | Fluarix |
| Flublok | Flublok |
| Flucelvax | Flucelvax |
| Fluzone | Fluzone |
| Fluzone HD | Fluzone HD |
Provider Contacts and Actions
Provider contacts, prior authorization channels, and portal/BIN info
KY MCO and KY FFS providers should use the listed program contacts, pharmacy help desk numbers, desk prior authorization phone/fax, and the MedImpact Kentucky Pharmacy Portal for questions and prior authorization requests. Include the BIN/PCN/GROUP values when submitting claims through the portal or payor channels.
- KY MCO — Program Questions: KYMCOPBM@MedImpact.com; Pharmacy Help Desk: (800) 210-7628 (24/7); Desk Prior Authorizations: Phone (844) 336-2676 (8:00 AM–7:00 PM EST, 7 days/week); Fax: (858) (as listed); Pharmacy Portal: https://kyportal.medimpact.com/; BIN: 023880 / PCN: KYPROD1 / GROUP: KYM01.
- KY FFS — Program Questions: KYMFFS@MedImpact.com; Pharmacy Help Desk: (877) 403-6034 (24/7); Desk Prior Authorizations: Phone (877) 403-6034 (8:00 AM–7:00 PM EST, 7 days/week); Pharmacy Portal Fax: (858) 357-2612; Pharmacy Portal: https://kyportal.medimpact.com/; BIN: 026309 / PCN: KYPROD1 / GROUP: KYF01.
Definitions and Billing Notes
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