Medicaid covered Immunizations and Federal Vaccine for Children (VFC) Program

Immunizations

Providers are encouraged to review valuable immunization information on the Department of Health and Human Services, Center for Disease Control and Preventions website, which provides recommended vaccines and schedules for children at http://www.cdc.gov/vaccines/.


Birth – 18 years:

Medicaid eligible members from birth through eighteen (18) years of age are eligible to receive free vaccines through the Federal Vaccine for Children (VFC) Program. SHP will reimburse the provider the administration fee for the vaccine as per their contract. Providers must bill using the appropriate assigned HCPCS procedure code to the vaccine and a modifier code, as indicated.

The provider must enroll with the VFC Program of the Department of Health to receive the vaccines free of charge and have sufficient supplies of the vaccines. Information regarding the VFC Program is available by contacting the State of Florida Department of Health, Bureau of Immunizations, at (800) 4-VFC-KID or (800) 483-2543, HSDI 4052 Bald Cypress Way, BIN A11, Tallahassee, Fl 32399-1719, or visit the website and click on immunization services: www.immunizeflorida.org/vfc.

For eligible members from birth through eighteen (18) years of age, the following vaccines and combination vaccines are available free to the enrolled VFC provider through Florida’s VFC Program:

* Diphtheria-Tetanus-acellular Pertussis (DTaP)
* Haemophilus influenzae type b (HIB)
* Hepatitis B (pediatric and adult)
* Human Papillomavirus (HPV)
* Influenza
* Meningococcal Conjugate (MCV4)
* Measles-Mumps-Rubella (MMR)
* Pneumococcal Conjugate (PCV7)
* Polio (IPV)
* Rotavirus
* Tetanus-Diphtheria (Td)
* Varicella

The following vaccines are available by request or for high-risk areas only through the VCF program:

Diphtheria and Tetanus (DT-Pediatric), Pneumococcal Polysaccharide (PPV), Hepatitis A and Meningococcal Polysaccharide (MPSV4)