The following change applies to NYS Medicaid and UHC Community Plan members.

Please check with other MCO plans that operate in NYS, if change will take affect at the same time.

What is changing?

• Effective for any DOS on 1/1/27 and thereafter the vaccine- Meningococcal pentavalent will be added to the non covered services/codes list
• Code: 90624-A pentavalent meningococcal vaccine administered intramuscularly to protect against five serogroups of meningococcal disease (MenB and MenA, C, W, Y).

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