What is involved in raising the reimbursement rate for VFC vaccine administration by Medicaid at the state level?
State Medicaid agencies, through processes that vary from state to state, may raise the VFC administration fees payable to Medicaid providers for vaccinating Medicaid eligible children up to the regional fee cap that was established for each state in 1994. Should a state consider its CMS-imposed cap to be too low, CMS and CDC should be contacted to discuss potential revision of the fee cap. Because so few state Medicaid agencies are reimbursing at the maximum regional charge, the current fee structure will remain in effect until further notice.
Related Questions
- How does a VFC program registered provider, who is not already a Medicaid provider, file for Medicaid reimbursement for the vaccine administration?
- What is involved in raising the reimbursement rate for VFC vaccine administration by Medicaid at the state level?
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