How does the CMS maximum regional charge for vaccine administration relate to universal-purchase states?
The October 1994 Federal Register notice gives universal purchase states (states in which the vaccines are purchased by the state for all children in the state) the right to develop administration fees that differ from those established by CMS, provided they are reasonable. Therefore, universal purchase states are provided the flexibility to accept the maximum charges established by the Secretary or develop their own maximum charges. The maximum charges must be developed utilizing a reasonable methodology based on VFC section 1928(c)(2)(C)(ii) of the Social Security Act. The amount of the cap (maximum fee) is not required to be set in state law. However, the authority to set an amount must be based in state law. In either case, CMS gives state Medicaid agencies the option to establish and apply vaccine administration fees that are lower than the specified maximum regional charges if they provide assurances that Medicaid children have access to immunizations to the same extent as the ge
Related Questions
- How does the CMS maximum regional charge for vaccine administration relate to universal-purchase states?
- Can a provider administering a Part D vaccine charge the beneficiary a separate administration fee?
- Can vaccination providers charge or bill for administration of the 2009 H1N1 vaccine to patients?
