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For example, beginning October 1, 2023, under amendments made by the Inflation Reduction Act, most adults enrolled in Medicaid, the cost of COVID-19 vaccine doses is expected to be borne by the. After the government ceases to supply COVID-19 vaccines from its current stock for most children enrolled in Medicaid, the cost of COVID-19 vaccine doses and vaccine administration services would be matched at the applicable state federal medical assistance percentage.