With the recent outbreak of measles disease in the surrounding New Jersey and Pennsylvania area, we want to remind providers about vaccine coverage for AmeriHealth commercial members.

According to the Advisory Committee on Immunizations Practice (ACIP), "during a measles outbreak, efforts should be made to ensure that all individuals at risk for exposure are vaccinated or have acceptable evidence of immunity." Evidence of adequate vaccination consists of documentation of two doses of a measles-containing vaccine. For individuals who lack evidence of immunity, a vaccination regimen with a measles-containing vaccine should be provided.

Our coverage is aligned with ACIP's recommendation. AmeriHealth covers the measles, mumps, rubella (MMR) vaccine as a preventive service with $0 cost-share.

If you suspect an outbreak or are unsure whether your patient belongs to a group at increased risk, please contact your local health department.

Learn more

For more information, refer to the following AmeriHealth medical policies:

• #08.01.04t: Immunizations
• #00.06.02y: Preventive Care Services

To view these policies, visit our Medical Policy Portal. Select Accept and Go to Medical Policy Online, and then type the policy name or number in the Search field.

If you have any questions after reviewing the medical policies, please call Customer Service at 1-888-YOUR-AH1 for AmeriHealth New Jersey or at 1-800-275-2583 for AmeriHealth Pennsylvania.