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Immunization & Child Profile
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Immunization & Child Profile
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Providers who get state-supplied vaccine are required to do Vaccines for Children (VFC) status screening. This consists of asking and documenting at every immunization visit whether or not a child is enrolled in Medicaid, is uninsured, underinsured, or American Indian or Alaska Native. This requirement started on the effective date of 2009 provider agreements. Contact your local health jurisdiction immunization coordinator for more information.
Tools, Templates, and Options for Documenting Patient Status
Health Plan
Contacts for Coverage and Billing Questions (PDF, 25KB) April 23, 2010
Guidelines |
Agency Guidelines for VFC Status Screening (PDF, 56KB) Nov. 18, 2008
Educational and Reference Materials |
A Provider's Guide: VFC Status Screening brochure (PDF, 90KB) A reference brochure for provider office staff (Dec. 2008)
Quick reference flyer (PDF, 63KB) For provider office reception staff (Nov. 20, 2008)
VFC Status Screening presentation (PowerPoint, 1.2MB) A presentation for local health jurisdiction staff to use for provider orientation and education (Feb. 5, 2009)
Frequently Asked Questions |
Status Screening General Frequently Asked Questions (PDF, 25KB) This document is for providers and local health jurisdiction staff and covers general status screening topics (April 10, 2009)
CHILD Profile Process for Status Screening Documentation and Frequently Asked Questions (PDF, 25KB) This document is for providers and local health jurisdiction staff about using the CHILD Profile Immunization Registry to support status screening activities (April 10, 2009)
Local Health Jurisdiction Status Screening Specific Topics and Frequently Asked Questions (PDF, 29KB) This document is for local health jurisdiction staff and covers local health-specific status screening topics (April 10, 2009)
American Indian or Alaska Native Status Definition and Frequently Asked Questions (PDF, 21KB) This document is for providers and local health jurisdiction staff and covers the American Indian or Alaska Native status category (April 10, 2009)
Insured Status Definition and Frequently Asked Questions (PDF, 26KB) This document is for providers and local health jurisdiction staff and covers the insured status category (April 10, 2009)
Medicaid Status Definition and Frequently Asked Questions (PDF, 27KB) This document is for providers and local health jurisdiction staff and covers the Medicaid status category (April 10, 2009)
Underinsured Status Definition and Frequently Asked Questions (PDF, 23KB) This document is for providers and local health jurisdiction staff and covers the underinsured status category (April 10, 2009)
Uninsured Status Definition and Frequently Asked Questions (PDF, 20KB) This document is for providers and local health jurisdiction staff and covers the uninsured status category (April 10, 2009)
Tools, Templates, and Options for Documenting Patient Status |
Patient VFC Status Screening Form (PDF, 108KB) Optional agency screening form to document VFC status during patient check in (updated Oct. 2010)
VFC Status Screening Exception Request Form for American Indian/Alaska Natives (PDF, 31KB)
Vaccine Administration Record (PDF, 31KB) Includes the option to document VFC status screening. (Jan. 1, 2009)
Label template (Word, 57KB) For printing self-adhesive labels to capture VFC status on existing patient intake forms (Jan. 1, 2009)
Label template (Word, 180KB) For printing self-adhesive labels to capture VFC status on the June 2008 version of the Vaccine Administration Record (Jan. 1, 2009)
CHILD Profile Immunization Registry Quick Reference (PDF, 47KB) To view, add, or edit patient VFC status (Dec. 10, 2008)
Options for providers to do a monthly count of VFC kids:
Monthly Report of Provider Usage with VFC Status
Excel file (67KB) July 1, 2011
PDF file (113KB) July 1, 2011
Last Update: 02/02/2012 01:08 PM