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North Carolina Immunization Program: Basics & Beyond. Presentation Overview. Part I: Vaccination Schedules Screening for VFC Eligibility Part II: Vaccine Administration Part III: Documentation Administration Fees Vaccine-Preventable Communicable Disease.
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Presentation Overview • Part I: • Vaccination Schedules • Screening for VFC Eligibility • Part II: • Vaccine Administration • Part III: • Documentation • Administration Fees • Vaccine-Preventable Communicable Disease
Objectives for Schedules and Screening • Participants will gain knowledge and enhance skills of current immunization issues by: • Understanding the North Carolina immunization requirements. • Describing how to determine which children are eligible for state-supplied vaccine
Video • Epidemiology and Prevention of Vaccine-Preventable Diseases • Schedules
Live Vaccine Rule Same day or separated by 28 days If time intervals not met, the live vaccines given second should be repeated in 28 days Live Virus Vaccines:MMR/Varicella/LAIV/Zoster
Child, household member, or close contact of a: Pregnant woman Person who is immunosuppressed Live Virus Vaccines:MMR/Varicella/LAIV/Zoster
Minimum North Carolina Immunization Law School Entry Requirements
Minimum North Carolina Immunization Law School Entry Requirements
Minimum North Carolina Immunization Law 6th Grade School Entry Requirements • Td/Tdap • All children required to have a booster dose of Tdap • 6th grade public school • 12 years of age for private school • Boostrix - approved for 10-64 yrs • Adacel - approved for 11-64 yrs • Td should only be used for: • Individuals 7 through 9 years, • Individuals over 64 yrs, or • Anyone over 7 years who is on a catch up schedule
NCIP Coverage Criteria Who should be aware of coverage criteria content? • Nursing staff • Anyone who administers vaccines to patient • Office managers • Other administrative staff
Screening Requirements • For compliance with VFC Program: • Screen all patients 0 through 18 years of age to determine VFC eligibility • Record eligibility in NCIR or on Vaccines Administered Log (VAL) each time a state-supplied dose is administered or • Retain copies of eligibility information for 3 years following the date the vaccine was administered. • May accept parent/guardian’s declaration of VFC eligibility status • Not required to verify VFC eligibility status
Determining VFC Eligibility Who is eligible for state-supplied vaccines • Children birth through 18 years of age who are in at least one of the following categories: • Medicaid eligible • Primary/Secondary • American Indian or Alaskan Native • Uninsured • Includes unaccompanied minors without proof of insurance presenting to local health department Title X clinics • Underinsured
Determining VFC Eligibility Determining who is underinsured: Underinsuredchildren are those who have a commercial health insurance plan, but the coverage: • Does not include vaccines (that is, there is no wellness plan on the policy), or • Caps the amount for vaccines (and that cap has been met), or • Covers only selected vaccines. For the vaccines not covered on the plan, the patient may be considered underinsured.
Determining VFC Eligibility Determining who is considered insured, and therefore not VFC eligible: • Children who have health insurance that fully covers immunization services • Children who have health insurance, but whose insurance covers only a percentage of the cost of vaccines • Children who have an insurance plan with an unmet deductible or with co-pays • Health Choice children
Put Your Knowledge into Practice! • Question: What vaccine(s) does this child need while at your practice today? [By parent’s report, no contraindications]
