Influenza Vaccine for Medicare Fee-For-Service patients
Beginning with the 2014-2015 influenza season the Centers for Medicare and Medicaid Services will no longer reimburse the Rhode Island Department of Health (HEALTH) for influenza vaccine administered to Medicare Fee-For-Service patients. Healthcare providers can either order flu vaccine for their Medicare Fee-For-Service patients privately, or Reimburse HEALTH for the purchase of vaccine. If providers choose to order influenza vaccine privately for this population, vaccine should be pre-booked directly with manufacturers by March 31 to ensure that vaccine is available.
HEALTH has identified a practice contact for each State-Supplied Vaccine Program enrollee. Practice contacts are available to provide individualized support to your practice and will assist with any general vaccine issues that arise.
All SSV providers should be aware of HEALTH's Vaccine Replacement Policy. Providers must now replace vaccine wasted during instances of negligence. (Previously providers would pay for vaccine wasted during instances of negligence.) Read the Vaccine Replacement Policy for examples of negligence and an explanation of the 5% wastage allowance.
A list is available online of sites for vaccine for uninsured Rhode Island residents who are 19 through 26 years of age or are at high risk. Contact one of these sites and ask if the vaccine needed is available. Appointments are necessary (except at St. Joseph's).