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VFC Requirements
New Immunization Rules
Vaccine Management
Compliance Site Visits
Vaccine Management Plans
100
* Patients (ages 0-18) . * Those who have Medicaid * Those who are Uninsured: A child who has no health insurance *Those who are  AI/AN: American Indian/Alaskan Native
What is who can receive VFC vaccine?
100
To more closely align NC with the Advisory Committee on Immunization Practices (ACIP) recommendations
What is why the Immunization Requirements were revised
100
A Dormitory refrigerator
What is the Type Of Refrigerator that CANNOT Be Used by providers.
100
A quality improvement strategy, developed by the Centers for Disease Control and Prevention (CDC), to raise immunization coverage levels and improve standards of practice at the provider and local health department levels.
What is AFIX
100
* Name of the current primary vaccine coordinator and at least one back-up coordinator * General operations for the following vaccine storage and handling practices: * Proper vaccine storage and handling practices * Temperature monitoring * Vaccine storage (e.g., equipment, placement) * Vaccine shipping and receiving procedures * Vaccine ordering procedures * Inventory control (e.g., stock rotation) * Vaccine expiration, spoilage, and wastage prevention (e.g., protocol for responding to and reporting vaccine loss) * Staff training (and documentation of training) on VFC requirements, including proper vaccine storage and handling
What are the minimum required components of a VFC Provider Vaccine Storage and Handling Plan
200
* Cannot replace with a state supplied dose - May bill the patient * Educate the patient that vaccines are available at no cost at other locations * Absorb the cost
What is what happens if a Private Dose is given to an Under-insured patient?
200
Allows for both Tdap and MCV to be simultaneously administered
What are the New Tdap requirement changes from 6th grade to 7th grade.
200
These items require storage temperatures between -58°F and +5°F (-50°C and -15°C).
What are frozen vaccines in a stand-alone freezer.
200
* Regional Immunization Consultants (RICs) * These visits are conducted every other year.
What is who conducts AFIX visits and how often
200
Effective January 1 , 2015 this item must include the signature, name, review date, and title of the preparer of the documents.
What is Vaccine Management Storage and Handling Plans
300
Use whatever is least costly to the patient
What is if my patient has insurance, but also falls into a VFC eligible category?
300
* 2 doses * One dose for individuals entering 7th grade or by 12 years of age whichever comes first * Booster dose for individuals entering the 12th grade or by 17 years of age beginning August 1, 2020 * First dose given on or after the 16th birthday the booster is not required
What are new the Meningococcal Conjugate Vaccine (MCV) requirements
300
* Household, consumer-grade units ( Freezerless) * Pharmaceutical-Household, consumer-grade units (Under-the counter or full sized)
What are the type of refrigerators that CAN Be used
300
* A formal quality assurance visit to enrolled providers. * Also an opportunity for NCIP staff to educate and support VFC providers who immunize VFC-eligible children using federally purchased vaccines.
What is a VFC Compliance Site Visit
300
It helps your facility to stay organized, serves as a reference and training tool, and provides assurance of proper vaccine management. It must be reviewed and updated annually and includes the name, signature, and title of the preparer as well as a review date.
What are the components of a Routine Vaccine Storage and Handling Plan
400
* Must be conducted and documented at each vaccine encounter * Keep information for at least three years
What are Eligibility Screening Requirements
400
* 4 doses by 15 months of age * The number of doses required will depend on the age of the child when the vaccine series was initiated * No individual 5 years of age or older is requirement to receive PCV * Monitored through Child Cares
What are the new Pneumococcal Conjugate Vaccine (PCV) requirements.
400
* Begins at the manufacturing plant * Extends through the transport of vaccine to the distributor. * Then delivery to the provider * Lastly, it ends with the administration of the vaccine to the patient
What is the Cold Chain Process
400
All programmatic areas found in the vaccine provider agreement are reviewed during this visit.
What is assessed during a VFC Compliance site visit.
400
This plan includes guidance on what to do in the event of: * Refrigerator or freezer malfunctions * Power failure to vaccine storage units * Natural disasters, or other emergencies that might compromise appropriate vaccine storage conditions
What are the components of the Emergency Vaccine Storage and Handling Plan
500
* Administration fee(s) to non-Medicaid VFC eligible patients (out-of-pocket) is no greater than the current Medicaid rate. * If patient is unable to pay the administration fee, fee is waived. * No office fee charged (in addition to an administration fee) for an immunization only visit.
What are Billing Requirements
500
This states that every individual in North Carolina shall be immunized against the following diseases and have documentation of age-appropriate vaccination in accordance with the ACIP
What are the new and revised NC Immunization requirements
500
Requires storage temperatures between 35°F and 46°F (2°C and 8°C)
What is vaccines that should be stored in a stand-alone refrigerator unit
500
* Spot check Storage and Handling visits * Focused site visits * Vaccine transfer assistance visits * Education visits * New provider enrollment visits
What are other site visits conducted by the North Carolina Immunization Program.
500
Who Should Be Familiar with the Routine Vaccine Storage and Handling Plan?
What is any staff who may administer or handle vaccines.