kansas immunization program immunization program guidelines for vaccine use by lhd’s october 2010
TRANSCRIPT
Objectives
• Understand VFC, 317, and State Vx. Funding
• Discuss the pros and cons of discretionary funding.
• Articulate the reasons why discretionary funds need to be targeted underserved children.
Vaccines for Children (VFC)• Federal Entitlement Program
• Funds based on documented need.
• Strict Eligibility Criteria
• VFC Budget Nationally: $4 Billion
VFC Ops Guide Module 2 - Eligibility
• Medicaid eligible: A child who is eligible for the Medicaid program.(For the purposes of the VFC program the terms Medicaid-eligible and Medicaid-enrolled are equivalent and refer to children who have health insurance covered by a state Medicaid program)
• Uninsured: A child who has no health insurance coverage
• Indian (American Indian or Alaska Native): As defined by the Indian Health Care Improvement Act (25 U.S.C. 1603)
• Underinsured: Children who have commercial (private) health insurance but the coverage does not include vaccines, children whose insurance covers only selected vaccines(VFC - eligible for non-covered vaccines only), or children whose insurance caps vaccine coverage at a certain amount--once that coverage amount is reached, these children are categorized as underinsured.
Web Site
• VFC Operations Guide:http://www.cdc.gov/vaccines/programs/vfc/operations-guide.htm
or
GOOGLE “VFC Operations Guide”
317 Vaccine Funding
• 317 funds are “discretionary.”
• Considered a “safety net”
• Subject to yearly appropriation
How many children can be fully vaccinated with 317 funds?
• 1999: ~750,000 children
• 2008 ~215,000 children
Kansas SGF Appropriations:
• FY 2008: $869,932• FY 2009: $836,080• FY 2010: $807,058• FY 2011: $807,058
Kansas Law Requires• To the extent that funds are
available, vaccines required for school entry must be provided.
• A sliding fee scale may be applied.
317 & State funds restricted to:• Underserved children/adolescents enrolled in
the federal free or reduced price lunch program• Have insurance that covers immunizations• Insurance co-pay or deductable poses a barrier to
vaccinations required for school attendance.• These children are not VFC eligible.• Vaccine provided to local health departments
• Cocoon Project
• Universal Hep. B Birth Dose Program