Comparison timestamp: 2025-05-04 04:57:15 UTC
RestoredCDC URL: http://restoredcdc.org/www.cdc.gov/vaccines-for-children/hcp/program-eligibility/index.html
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RestoredCDC URL: http://restoredcdc.org/www.cdc.gov/vaccines-for-children/hcp/program-eligibility/index.html
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Original site: www.cdc.gov/vaccines-for-children/hcp/program-eligibility/index.html | RestoredCDC.org is an independent project, not affiliated with CDC or any federal entity. Visit CDC.gov for free official information. Due to archival on January 6, 2025, recent outbreak data is unavailable. Videos are not restored. Access data.restoredcdc.org for restored data. Use of this site implies acceptance of this disclaimer.[More]About Us Report Bug Compare ContentSkip directly to site content Skip directly to search Skip directly to On This PageAn official website of the United States governmentHere's how you knowOfficial websites use .govA .gov website belongs to an official government organization in the United States.Secure .gov websites use HTTPSA lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.Vaccines for Children ProgramExplore TopicsSearchSearchClear InputFor Everyone* About the Vaccines for Children (VFC) Program* VFC Information for Parents* View allHealth Care Providers* Vaccines for Children (VFC): Information for Providers* Vaccines for Children (VFC) Program Eligibility* Information on Vaccines Provided by the VFC Program* View allPublic Health* Vaccines for Children (VFC) Program: Information for Awardees* View allView Allsearch close searchsearchVFC Program Menu CloseVFC Program MenusearchFor Everyone* About the Vaccines for Children (VFC) Program* VFC Information for Parents* View AllHealth Care Providers* Vaccines for Children (VFC): Information for Providers* Vaccines for Children (VFC) Program Eligibility* Information on Vaccines Provided by the VFC Program* View AllPublic Health* Vaccines for Children (VFC) Program: Information for Awardees* View AllView All VFC ProgramVaccines for Children (VFC): Information for Providers Vaccines for Children (VFC) Program Eligibility Information on Vaccines Provided by the VFC Program View AllJuly 1, 2024Vaccines for Children (VFC) Program EligibilityWhat to knowA child is eligible for the VFC Program if they are younger than 19 years of age and are one of the following: Uninsured, Medicaid-eligible or Medicaid-enrolled, American Indian or Alaska Native, or UnderinsuredVFC Program Eligibility RequirementsChildren without health insurance (Uninsured)Children who do not have health insurance qualify for vaccines through the VFC Program.Medicaid-eligible or Medicaid-enrolled childrenChildren ages 18 years or younger who are enrolled in a Medicaid program or are eligible for Medicaid can receive VFC Program benefits. However, children who are enrolled in a separate CHIP program are considered insured and do not qualify for VFC Program benefits.For more information on being a Medicare provider under the VFC Program, see "Medicaid Providers Can Enroll in the VFC Program" section.American Indian or Alaska NativeChildren who are American Indian or Alaska Native qualify for vaccines through the VFC Program as defined by the Indian Health Care Improvement Act (25 U.S.C. 1603)Underinsured children"Underinsured" is defined as a child:* who has health insurance, but the coverage does not include vaccines;* whose health insurance covers only selected vaccines (VFC Program-eligible for non-covered vaccines only);* whose health insurance has a fixed dollar limit or cap for vaccines (VFC Program-eligible once fixed dollar amount or cap is reached).Underinsured children are eligible to receive VFC Program vaccine only through a Federally Qualified Health Center (FQHC), or Rural Health Clinic (RHC) or under an approved deputization provider location agreement.Children Who Are Not Eligible for the VFC ProgramChildren whose health insurance covers the cost of vaccinations are not eligible to receive VFC Program vaccines. This also applies if an insurance carrier denies a claim to pay for the cost and administration of the vaccine because the plan's deductible had not been met.VFC Program Providers Are Required to Screen for EligibilityAll VFC Program providers must screen for a child's eligibility to receive vaccines through the VFC Program and record the screening results during each visit. The patient eligibility screening record provides a means of recording parent responses to VFC Program eligibility questions. The parent, guardian or provider may complete this form. Verification of parent/guardian responses is not required.Providers may choose to include these screening questions on their existing screening form; however, any changes must include the core screening information listed on the patient eligibility screening record and be approved by the State Immunization Program.Patient eligibility screening records should be maintained on file for a minimum of 3 years, unless state law/policy establishes a longer period.Medicaid Providers Can Enroll in the VFC ProgramThe largest category of children eligible for the VFC Program is Medicaid-enrolled children. If you are a Medicaid Provider, there are many aspects of Medicaid that you should be aware of and how Medicaid and the VFC Program work together.Each State Medicaid program can set their own policies within the national guideline set by the Federal Government. However, because the VFC Program is funded through the Centers for Medicare and Medicaid Services (CMS), it falls within the Medicaid law. All State Medicaid programs across the United States encourage their participating physicians to enroll in the VFC Program.Sometimes a parent or guardian may not know whether their child is enrolled with Medicaid. Even if the child does not have health coverage, you can still provide free vaccines and refer them to a State Medicaid Agency to help determine their status. By enrolling as a VFC Program Provider, you will be able to expand your practice in providing free vaccines to children who need them.Medicaid Reimbursement as a VFC Program ProviderIf you are a VFC Program provider who is not a Medicaid provider, you are not required to become a Medicaid provider to receive publicly purchased vaccine. However, you must become a Medicaid provider in order to receive payment from Medicaid for vaccine administration services provided to Medicaid-eligible children. A VFC Program provider cannot charge for vaccine supplied by public sources.To learn more about the steps necessary to become a Medicaid provider, consult your State Medicaid agency.On This Page* VFC Program Eligibility Requirements* Children Who Are Not Eligible for the VFC Program* VFC Program Providers Are Required to Screen for Eligibility* Medicaid Providers Can Enroll in the VFC ProgramRelated PagesInformation on Vaccines Provided by the VFC ProgramRelated Pages** View AllBack to Top* Information on Vaccines Provided by the VFC Program* Vaccines for Children (VFC): Information for ProvidersView All VFC ProgramInformation on Vaccines Provided by the VFC ProgramJuly 1, 2024Sources Print ShareFacebook LinkedIn Twitter SyndicateContent Source:National Center for Immunization and Respiratory Diseases (NCIRD)Related PagesInformation on Vaccines Provided by the VFC ProgramRelated Pages** View All* Information on Vaccines Provided by the VFC Program* Vaccines for Children (VFC): Information for ProvidersView All VFC ProgramBack to TopVFC ProgramThe Vaccines for Children (VFC) Program provides vaccines to children whose parents or guardians may not be able to afford them.View AllFor Everyone* About the Vaccines for Children (VFC) Program* VFC Information for ParentsHealth Care Providers* Vaccines for Children (VFC): Information for Providers* Vaccines for Children (VFC) Program Eligibility* Information on Vaccines Provided by the VFC ProgramPublic Health* Vaccines for Children (VFC) Program: Information for AwardeesSign up for Email UpdatesContact UsContact Us* Call 800-232-4636* Contact CDCAbout CDCAbout CDC* Pressroom* Organization* Budget & Funding* Careers & JobsPolicies* Accessibility* External Links* Privacy* Web Policies* FOIA* OIG* No Fear Act* Nondiscrimination* Vulnerability Disclosure PolicyLanguagesLanguages* EspañolLanguage Assistance* Español* 繁體中文* Tiếng Việt* 한국어* Tagalog* Русский* العربية* Kreyòl Ayisyen* Français* Polski* Português* Italiano* Deutsch* 日本語* فارسی* EnglishArchive* CDC Archive* Public Health PublicationsContact UsContact Us* Call 800-232-4636* Contact CDCAbout CDC* Pressroom* Organization* Budget & Funding* Careers & Jobs* About CDCPolicies* Accessibility* External Links* Privacy* Web Policies* FOIA* OIG* No Fear Act* Nondiscrimination* Vulnerability Disclosure PolicyLanguagesLanguages* EspañolLanguage Assistance* Español* 繁體中文* Tiếng Việt* 한국어* Tagalog* Русский* العربية* Kreyòl Ayisyen* Français* Polski* Português* Italiano* Deutsch* 日本語* فارسی* EnglishArchive* CDC Archive* Public Health PublicationsHHS.gov USA.gov
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