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North Carolina Immunization Program (NCIP) Overview

North Carolina Immunization Program (NCIP) Overview. About the NCIP:. Our Purpose: To promote public health through the identification and elimination of vaccine-preventable diseases. Our Goals: To ensure age-appropriate vaccinations To keep children in their medical homes, and

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North Carolina Immunization Program (NCIP) Overview

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  1. North Carolina Immunization Program (NCIP) Overview

  2. About the NCIP: • Our Purpose: To promote public health through the identification and elimination of vaccine-preventable diseases. • Our Goals: • To ensure age-appropriate vaccinations • To keep children in their medical homes, and • To remove cost as a barrier

  3. About the NCIP: • Who we serve: • Children through 18 years of age • What we provide: • Federally funded vaccine provided by the CDC based on NC’s population • Where do we supply vaccine: • Local Health Departments • Federal and Rural Health Centers • 95% of Private Providers • Hospitals

  4. Change

  5. Quick History of NCIP • 1994 – The NC Universal Childhood Vaccine Distribution Program (UCVDP) launched • Using a combination of state and federal funding, ALL children in NC are able to receive ALL vaccines, free of charge • Life was good! • Transition from LHDs to private providers • Immunization rates increase!

  6. Quick History of NCIP • 2000 – NC Becomes a Universal-Select Program • Cost of new vaccines • Prevnar • Required vaccines • Provided Universally • Complicated system • Public vs Private vaccine stocks

  7. Quick History of NCIP • Significant Milestones 2005 • NCIR is Launched • NC is one the top 10 states with the best immunization rates in the country!! • 2009 • State Budget Cuts Occur

  8. Quick History of NCIP • 2010 – More Cuts… • As of July 1, 2010 – NC is a VFC-only state

  9. Who Decides?

  10. Piggy Bank is Empty

  11. What Now? • North Carolina = VFC only • Providers – Public and Private • Order vaccine for VFC eligible children • No more ordering vaccine for ALL children • Providers will purchase vaccine for insured patients

  12. Who is Eligible for VFC Vaccine? • Children • Birth through 18 years of age • Must be: • Medicaid eligible: Medicaid eligible and Medicaid enrolled are the same • Uninsured: No health insurance coverage • American Indian or Alaska Native • Underinsured

  13. Fees and Charges • Providers CANNOT bill for cost of vaccine • Administration Fee • CANNOT Deny

  14. Vaccine Ordering • Help Desk Monitors orders closely • Assess VFC population based on provider profile • Last month’s usage • Administered during last 3 months • Inventory on hand

  15. Transition Plan • $3 million one time funding • Ensure children are up to date for school entry • Kindergarten through 8th grade • Local Health Departments • Private Providers

  16. NCIP Changes • Will I still be able to get vaccine from you? • What if I don’t see Medicaid kids? • Can I continue to use NCIR?

  17. More Questions? • Can I use inventory for insured kids? • Do I have to keep a private supply? • How do I purchase private vaccine? • Can I borrow VFC vaccine? • How do I report doses administered? • Will vaccines for adults still be available?

  18. What are the providers’ responsibilities? • NCIP Vaccine Agreement- All providers have to stay in compliance with the agreement that is signed. Failure to do so may result in termination from the program. • North Carolina Immunization Laws- Provide every child present immunizations required by state law

  19. What are the providers’ responsibilities? • Vaccines for Children (VFC) – Verify the client’s eligibility to make sure that they qualify for VFC vaccines. • Site Visits – Required to allow periodic VFC educational site visits and inspection of vaccine supplies and records as requested by the Immunization Branch.

  20. Quick Tips • New Address – The facility needs to report the new address at least ten (10) days before the move to the Help Desk.

  21. Quick Tips • Staff Turnover – If there are any changes in immunization staff (such as the lead physician, health director who signed the provider agreement, main point person for vaccine deliveries, etc.) – please notify the Help Desk within 10 days!

  22. Quick Tips • Joining Satellite Clinics – If the satellite clinic is more than an hour away from the main site, it is best to have the clinic set up as its own individual site in the NCIP.

  23. Quick Tips • Leaving the Program –If you want to leave the NCIP or if your office closes – please call the Help Desk ASAP.

  24. What Are Your Questions?

  25. On to the fun…

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