Can VFC providers charge an office visit and administration fee for uninsured children eligible for VFC vaccine?
Yes. Your office visit fees can continue. The VFC Program only provides you with free vaccine. Practitioners are not required to deliver medical services to uninsured patients who cannot pay in order to maintain their VFC-provider status. You may charge an administration free for an uninsured patient who is VFC eligible up to the $16.34 federal cap for administration fees. However, if the patient you choose to serve is unable to pay the office or administration fee, he/she may not be denied the VFC vaccine. In order to receive Medicaid reimbursement for administration of VFC vaccine to Medicaid and NJ FamilyCare eligible children, you must be a Medicaid provider, enrolled in the VFC Program, and submit a properly completed New Jersey Medicaid claim form. Fee-for-service (FFS) reimbursement for administration will be $11.50 per injection.
