The Vaccines for Children Program (VFC) is a federally-funded program in the United States providing no-cost vaccines to children who lack health insurance or who cannot otherwise afford the cost of vaccination. A public health worker from Arizona recently contacted the Network asking several questions about the VFC Program and insurance coverage.
The VFC Program requires a screening to determine eligibility status prior to each administration of vaccine. Screening results must be documented at each immunization visit, even if there is no change in eligibility status. The Vaccines for Children Eligibility Screening Record states that verification of responses is not required.
Children under 19 years old who meet one of the following criteria are eligible to receive VFC vaccine:
According to the Arizona VFC Program Operations Guide, providers may charge an administration fee, up to $21.33 per immunization to patients who are not covered by Medicaid. For Medicaid patients, the administration fee will vary based on the specific health plan, but $21.33 is the maximum fee set by Arizona’s Medicaid Agency. Patients themselves may be charged an administration fee, but only if they are able to pay it. A VFC eligible child cannot be denied a vaccine for failure to pay an administration fee.
Network attorneys are available to answer questions on this and other public health topics at no cost to you, and can assist you in using law to advance your public health initiatives. Contact a Network Attorney in your area for more information.
The legal information and assistance provided in this document does not constitute legal advice or legal representation. For legal advice, readers should consult a lawyer in their state.