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Vaccines for Children Program . By Laura Harrod. VFC vaccines supplied by VFC can be given only to: Children aged 18 years and younger (prior to the 19 th birthday) who : Are on Medicaid, Passport, or have coverage from one of the Managed Care Organizations

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Presentation Transcript
slide2

VFC vaccines supplied by VFC can be given only to:

Children aged 18 years and younger (prior to the 19th

birthday) who:

  • Are on Medicaid, Passport, or have coverage
  • from one of the Managed Care Organizations
  • authorized by the Kentucky Medicaid Program,
  • Have no health insurance or are uninsured,
  • Are American Indian or Alaskan Native
slide3

Additionally Kentucky Vaccine Program purchases

vaccines with state funds to cover:

  • The Hepatitis B birth dose in the hospital, and
  • Medicaid Program KCHIP3 children.
  • The state of Kentucky has a contract with
  • Medicaid to pay for these children’s vaccines.
  • The Medicaid program reimburses providers
  • for vaccines administration only. Providers
  • should use State supplied vaccine to prevent
  • incurring cost for the vaccine.
slide4

VFC vaccines should NOT be given to TRICARE/

Champus military insurance Patients. TRICARE insurance covers all Advisory

Committee on Immunization Practices (ACIP) recommended vaccines at an in network provider. Patients must go to in network providers and not use VFC vaccines.

slide5

IF A PATIENT HAS HEALTH INSURANCE

AND YOUR OFFICE STAFF DOES NOT

KNOW IF ALL VACCINES ARE COVERED,

YOU MUST:

  • EITHER CALL THE INSURANCE COMPANY TO CONFIRM VACCINE COVERAGE

OR

  • USE PRIVATE VACCINES (VFC FUNDED
    • VACCINE MUST NOT BE USED.)

.

slide6

IF A PATIENT HAS HEALTH INSURANCE

AND YOUR OFFICE STAFF DOES NOT

KNOW IF ALL VACCINES ARE COVERED,

YOU MUST:

  • EITHER CALL THE INSURANCE COMPANY
    • TO CONFIRM VACCINE COVERAGE

OR

  • USE PRIVATE VACCINES (VFC FUNDED
    • VACCINE MUST NOT BE USED.)

.