The Texas Vendor Drug Program (VDP) has notified managed care organizations that the planned expansion of adult vaccine coverage under the Medicaid pharmacy benefit has been postponed and will not go live on February 2, 2026.
This update is related to the October 13, 2025, announcement that adult vaccines would be added to the pharmacy benefit for Texas Medicaid members, with an effective date of February 2, 2026.
VDP will communicate a new implementation date once it becomes available.
What This Means for Providers:
- Currently, only influenza and COVID-19 vaccines are available to adult Texas Medicaid members through the pharmacy benefit.
- Other adult vaccines remain covered under the medical benefit only.
Community First will share additional information once HHSC and VDP announce a new effective date or provide further clarification on vaccine coverage.
Resources:
- Adult Vaccine List (Excel)
- For policy-specific questions, contact VDP at vdp-policy@hhs.texas.gov
- Vendor Drug Program Notice Adult Vaccine Notice (PDF)
Providers are encouraged to share this information with their staff. If you have any questions about this notice, please email Provider Relations at ProviderRelations@cfhp.com or call 210-358-6030. You can also contact your Provider Relations Representative directly.
To access all Provider alerts:
- Log into the Community First Provider Portal
- Go to CommunityFirstHealthPlans.com/Provider-News
- Sign up for the Community First Provider eNewsletter