Storage and Waste Providers are not expected to maintain separate storage for vaccines provided through the VFC program. However, use the oldest stock first to ensure that vaccines are not allowed to expire. Vaccines are fragile, perishable biologicals. Be aware that vaccines are sensitive to both extremes of heat and cold and, in some cases, exposure to light. The annual amount of vaccine a physician receives from the VFC program must not exceed the amount physicians provide to Wisconsin Medicaid recipients, uninsured children, or Native American children.
Consideration is made for an appropriate percentage of waste.
Billing and Reimbursement for Vaccines Physicians may bill the appropriate procedure codes for all vaccines, including those provided through the VFC program. Medicaid reimburses for the injection of each vaccine provided through the VFC program. Providers are not reimbursed for the cost of the vaccines since the Immunization Program sends the vaccines free to providers who give immunizations to Medicaid recipients. Wisconsin Medicaid covers the injectable drug procedure codes listed in the Physician Services Maximum Allowable Fee Schedule. Physicians and physician assistants may be separately reimbursed for an injection administration code only when the medication is supplied and independently billed by a pharmacy using an applicable NDC, or when the recipient possesses and provides the medication for injection by a physician or physician assistant.