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Vaccines for Children - Frequent
Vaccines for Children -
Frequently Asked Questions
Who is eligible to receive VFC vaccine?
Who is considered Under-insured?
If a patient has health insurance but has a large deductible, is the patient
eligible for VFC vaccine?
If a patient has health insurance but has reached their yearly well-care cap, is
the patient eligible for VFC vaccine?
Which vaccines are provided?
Can I charge my patients an administration fee?
How will VFC benefit me as a provider?
How do I enroll in the Kentucky VFC Program?
Who is eligible to
receive VFC vaccine?
All children birth through 18 years of age who are enrolled in Medicaid,
enrolled in the Kentucky Children’s Health Insurance Program (KCHIP), have no
health insurance, are American Indian/Alaskan Native or are under-insured.
Who is considered Under-insured?
Children whose health insurance plan does not provide, as a covered medical
service, any immunizations or does not cover a specific antigen, such as
Hepatitis A or Meningococcal, or the vaccine benefits are capped at a yearly
limit after which there is no vaccine coverage for that year.
If a patient has health insurance but has a large deductible, is the patient
eligible for VFC vaccine?
Patients whose insurance policy provides for immunizations as a covered
medical service, regardless of deductibles are considered insured. They are not
eligible for publicly funded vaccine.
If a patient has health insurance but has reached their yearly well-care
cap, is the patient eligible for VFC vaccine?
Patients whose insurance policy provides for immunizations as a covered
medical service are considered insured and are not eligible for publicly funded
vaccine. However, if the vaccine cost is capped at a yearly or annual limit
after which there is no vaccine coverage for that year, they are considered
under-insured. The vaccine cap must be completely depleted to be considered as
under-insured.
Which vaccines are provided?
The Kentucky VFC Program provides all current immunizations recommended by
the Advisory Committee on Immunization Practices (ACIP). These include:
Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b, Polio, Measles,
Mumps, Rubella, Hepatitis A, Hepatitis B, Varicella, Pneumococcal Conjugate,
Influenza, Rotavirus, Meningococcal and Human Papillomavirus vaccines.
Can I charge my patients an administration fee?
Yes. You may charge an administration fee up to $14.17 per injection. This
cap is established for Kentucky by the Centers for Medicare & Medicaid Services.
If a patient, parent, or guardian is unable to pay the administration fee, you
may not deny them the vaccine. If the patient is on Medicaid or KCHIP you may
submit claims for the administration fee to the Kentucky Medicaid Program or the
KCHIP program.
How will VFC benefit me as a provider?
- Free vaccines
- Keep your patients in their medical home for continuity of care
- Reduce patient out-of-pocket expense
- Ensure timely vaccinations
- No cost to participate
- Medicaid reimbursement for administration costs
- Free immunization assessments
- Free training for staff members
- Regional immunization representative
How do I enroll in the Kentucky VFC Program?
Call your local VFC Representative at 859-363-2077 and fill out the
Provider Profile and Enrollment Forms.
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