Vaccines for Children (VFC) – billing and reimbursement for covered vaccines
The VFC program distributes free vaccines to eligible providers serving Child Health Plus/Medicaid members ages 18 and younger throughout our service area.
New York State Medicaid should never be billed for the cost of any vaccine available through the VFC Program.* This applies to both Fee-for-Service and Medicaid Managed Care members, including EmblemHealth’s members. For a list of vaccines available through the:
- NYC VFC program, refer to the right-most column of the Citywide Immunization Registry.
- NYS VFC program, refer to the CDC VFC Price List. Review both the Pediatric/VFC Vaccine Price List and the Pediatric Influenza Vaccine Price List.
To obtain these vaccines:
*The VFC Program is administered by New York City (NYC) in conjunction with the NYC Department of Health and Mental Hygiene (NYC VFC), and New York State for non-city residents (NYS VFC) – collectively: the VFC Program.