1. Who is eligible to receive VFC vaccine?
2. Who is considered Under-insured?
3. If a patient has health insurance but has a large deductible, is the patient eligible for VFC vaccine?
4. Which vaccines are provided?
5. Can I charge my patients an administration fee?
6. How do I enroll in the Utah 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 Children's Health Insurance Program (CHIP); have no health insurance; American Indian/Alaskan Native; or underinsured.

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 Varicella, 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 Utah 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 $14.52 per immunization. This cap is established for Utah by the Centers for Medicare & Medicaid Services (CMS), formerly known as Health Care Financing Administration (HCFA), in collaboration with the Utah Department of Health, Immunization Program.

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 CHIP you may submit claims for the administration fee to the Utah Medicaid Program or the CHIP Program.

How do I enroll in the Utah VFC Program?
Call the Utah Immunization Program at 801-538-9450 and fill out a Provider Profile and Enrollment form.

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