You may create your own username and password by clicking https://file.rivaccine.org/login and follow the prompts to register.

No. The ACA does not preempt any provision of state law unless a state law prevents the application of an ACA requirement. The Universal Vaccine Program supports the ACA requirement that coverage be provided without the imposition of cost-sharing for immunizations for routine use in children and adults.

https://file.rivaccine.org/login.  First-time users must register before they can log in to the assessment system. Please note that because of the system’s security features, there may be a delay of up to 30 minutes before a new account can be accessed for data entry.

If you have previously registered through RIVAP, use the same login information created to access the RIVAP assessment system.

Quarterly assessments are due 30 days after the close of each quarter, meaning reports and payments will typically be due on or before January 30, April 30, July 30, and October 30 each year. Quarterly payments are based on the number of contribution enrollees an entity reports for the three months in each preceding quarter.

By purchasing vaccines in bulk at federal contract rates, the State qualifies for one of the most significant discounts from the pharmaceutical industry.  The program funds vaccine purchases from assessments collected from insurers and other payers.

RIVAP will be overseen by the Rhode Island Department of Health (RIDOH).

No. Self-insured employers, Third-party administrators (TPAs), health maintenance organizations (HMOs), employers with health benefits plans, and certain other payers are also subject to assessment. These payers fund the purchase of vaccines for privately insured children and adults. 

The Centers for Disease Control and Prevention (CDC)’s Vaccines for Children (VFC), program pays for vaccines for eligible children under 19 years of age, including Medicaid-insured, uninsured, American Indian or Alaska Native children and under-insured children served at federally qualified health centers.  Other federal funding covers the cost of vaccines for uninsured adults.

“Assessed entity” means any health care insurers or other entity that contracts or offers to provide, deliver, arrange, pay for, or reimburse any of the costs of health services.

A health care insurer as defined in RI Statute §42-7.4-2:

(a)      "Insurer" means all persons offering, administering, and/or insuring healthcare services, including, but not limited to: 

(A) Policies of accident and sickness insurance, as defined by chapter 18 of title 27:

(B) Nonprofit hospital or medical service plans, as defined by chapters 19 and 20 of title 27;

(C) Any person whose primary function is to provide diagnostic, therapeutic, or preventive services to a defined population on the basis of a
       periodic premium;

(D) All domestic, foreign, or alien insurance companies, mutual associations and organizations;

    (E) Health maintenance organizations, as defined by chapter 41 of title 27;

    (F) All persons providing health benefits coverage on a self-insurance basis;

    (G) All third-party administrators described in chapter 20.7 of title 27; and 

(H) All persons providing health benefit coverage under Title XIX of the Social Security Act (Medicaid) as a Medicaid managed care organization
      offering managed Medicaid. 

(b)      "Insurer" shall not include any nonprofit dental service corporation as defined in § 27-20.1-2, nor any insurer offering only those coverages
      described in § 42-7.4-14.

  (A)  an entity that provides the state health care plan described in RI Gen Law 27-18-1.1-7

  (B)   a public or private entity that offers a publicly funded plan in the state, to the extent participation in the program is authorized by law, and

  (C)   a third-party administrator as defined in RI Gen Law 27-20.7-2.1

For more information about the Rhode Island State Supplied Vaccine (SSV) program go to:  www.health.ri.gov/immunization/ 

RIVAP was formed to improve funding to support universal access to state-distributed vaccine for children and adults. RIVAP enables Rhode Island to purchase vaccines for the state’s entire population and distribute them to health care providers at no cost.

The Rhode Island State-supplied Vaccine (SSV) program will be funded through vaccine assessments from assessable entities called “payers,” which include health care insurers, health benefit plans, and third-party administrators, based on their proportionate share of the overall vaccine costs. RIVAP will use the funds to order vaccines at a discounted bulk rate and distribute it statewide at no cost to health care providers (e.g., doctors, hospitals, clinics, etc.). Health care providers will vaccinate their patients, only billing payers for the administrative fee, as set by the insurer.

If RIVAP’s estimates produce funds that are too low to meet the needed immunization program costs, RIVAP may adjust the remaining quarterly assessment rates. RIVAP’s reserve methodology has been designed so that no supplemental assessment should be needed, but that cannot be guaranteed in advance.

Please contact KidsVax.org® by using the e-mail address Help@RIvaccine.org, explain what adjustments you need, and provide your contact information. A trained KidsVax® representative will follow-up on your request.

Any excess funds collected in one year will be used to reduce the overall assessment for the following year.

Draft spreadsheets used to compute the RIVAP assessment rate will be posted under the “Documents” tab under the heading Rate-Setting-Workbooks.

Please prepare your report as soon as possible. KidsVax® will report your late payment to RIDOH. RIDOH will take enforcement action, should that become necessary. Interest will be due on any late payments at 18% per year. See §42-7.4-6 and §44-1-7. As stated in statute §42-7.4-5: “If an insurer required to make the contribution pursuant to this chapter shall fail to pay a contribution within thirty (30) days of its due date, the secretary may request any agency of state government making payments to the insurer to set-off the amount of the delinquency against any payment or amount due the insurer from the agency of state government and remit the sum to the secretary.” Additionally, by statute §42-7.4-6: “If the failure [to pay] is due, in whole or part, to negligence or intentional disregard of the provisions of this section, a penalty of ten percent (10%) of the amount of the determination shall be added to the contribution. The secretary shall collect the contribution with interest.”

Yes. ERISA does not prevent the state from assessing payers. To the extent allowed by federal law, ERISA plans are required to participate along with all other payers. Third-party administrators (TPAs), who are often contracted to perform claims processing activities for ERISA plan trustees, will also be included in the mandatory assessment.

Yes. Assessment payments are properly accountable as medical expenses because they fund the cost of vaccines administered to beneficiaries. As such, assessable entities like third-party administrators are anticipated to pay the assessment costs on behalf of their clients.

“Assessable entity” means any health carrier or other entity that contracts or offers to provide, deliver, arrange, pay for, or reimburse any of the costs of health services.

When you file your report in the assessment system on the website, the program will generate a “Remittance Form” that you can print and save. This form will contain a unique reference number. You must include this reference number with your payment. The Form will also include detailed instructions for submitting your payment by ACH transfer, which is the preferred method. 

Yes. Each state program is built to meet the needs of its stakeholders. There are various assessment methodologies, adult and children programs, and services that KidsVax® offers. KidsVax® customizes its services to fit each state’s specific needs.

“Adult contribution enrollees” are Rhode Island residents who are 19 years and older. “Child contribution enrollees” are Rhode Island residents who are under 19 years of age.

According to RI Statute 42-7.4-2.3, a contribution enrollee is

(a)    “an individual residing in this state, with respect to whom an insurer administers, provides, pays for, insures, or covers health care services, unless excepted by this section.”

A contribution enrollee is not

“an individual whose healthcare services are paid or reimbursed by Part A or Part B of the Medicare program, a Medicare supplemental policy as defined in section 1882(g)(1) of the Social Security Act, 42 U.S.C. 1395ss(g) (1), or Medicare managed care policy, the federal employees' health benefit program, Tricare, CHAMPUS, the Veterans' healthcare program, the Indian health service program, or any local governmental corporation, district, or agency providing health benefits coverage on a self-insured basis”

Adult covered lives” are residents who are 19 years and older who are:

(a) Covered under an individual health insurance policy;

(b) Covered under a group health insurance policy;

(c) Protected, in part, by a group excess loss insurance policy; or

(d) Protected, in part, by an employee benefit plan of a self-insured entity or any government plan for any employer or government entity.

“Child covered lives” are residents who are 0 through 18 years of age who are:

(a) Covered under an individual health insurance policy;

(b) Covered under a group health insurance policy;

(c) Protected, in part, by a group excess loss insurance policy; or

(d) Protected, in part, by an employee benefit plan of a self-insured entity or any government plan for any employer or government entity.

Entities must report both child and adult covered lives. Individuals 0 through 18 years of age are considered children. Individuals 19 and older are considered adults.

Yes. However, the entity may be eligible to file an Annual or Permanent Zero Covered Lives Report instead of the typical quarterly reports. Please note that if an entity has zero covered lives for one quarter only, then it should file a normal quarterly report with “0” values. If, however, an entity does not administer medical benefits and therefore has zero covered lives, it should file one of two types of Zero Covered Lives Reports. For example, this type of report would be appropriate for entities such as those administering eye care or dental benefit only plans. If the entity has zero covered lives and will continue to have zero covered lives for the balance of the year, then it should file an Annual Zero Covered Lives Report during the first quarter of the calendar year. No other report will be due until the first quarter of the following calendar year. If the entity has zero covered lives and expects to never have covered lives, it should file a Permanent Zero Covered Lives Report to eliminate the need for further compliance follow up. A guide to Zero Covered Lives Reports is available here.

If annually, you have no lives to report, you may file a permanent zero.  At that point, you will not be required to file annually unless you begin to have covered lives to report.  

You can reset your password by clicking https://file.rivaccine.org/login. If you do not receive a temporary password in your inbox, please be sure to check your spam/junk folders.   Should you need to contact us, please email info@rivaccine.org or info@cha-ri.org and include your FEIN.

Publicly funded healthcare benefit plans (Medicare, and the military’s TRICARE) are not included in the bill’s definition of “healthcare insurer.” As stated in §23-1-46: Annual assessments shall…not include any Medicare Supplement Policy (as defined in §27-18.2-1(g)), Medicaid or Medicare premiums.”

No. RIVAP is a financing mechanism for a portion of Rhode Island’s universal vaccine purchasing system for insured children and adults. The federally funded Vaccines for Children program is not affected by the Vaccine Assessment Account. All providers receiving vaccine through this program must enroll annually in the VFC and/or SSV program and adhere to all program requirements.

Yes. Please email Help@RIvaccine.org explaining the mistake and the amount you need for reimbursement. RIVAP will then determine the best way to correct the mistake. Normally, that will be via deductions from subsequent quarterly reports.

No, the children’s health account, childhood and adult vaccines will have separate assessments. However, there is one assessment system, producing 2 invoices, and requires just 2 payments – 1) the children’s health account and 2) childhood and adult vaccines.

Please email Help@RIvaccine.org with an explanation of the mistake. RIVAP will provide assistance so that you can print a corrected remittance form.

Log into that entity's assessment filing system, toggle the permanent zero option to off so that you can start reporting regularly, beginning with the first quarter in which it has contribution enrollees.