Please click here for Rhode Island Department of Health Pediatric and Adult State-Supplied Vaccines (Effective July 2022).
For more information about the Rhode Island Department of Health, please visit:
Immunization Information For Providers: Department of Health (ri.gov)
Yes. Eligibility status screening is still a federal/state requirement for every visit and has not changed.
Since the assessment only covers the cost of the vaccine, providers will bill either the payers or the patients directly for vaccine administration fees, as is their current practice.
Nothing in the statute prohibits this. However, it is uncertain what reimbursement rates will be set by payers since supply at $0 cost is available to providers statewide. This topic may be addressed by regulation in the future but at the current time, providers would need to negotiate this privately with payers.
No. Providers should not include any code in their billing for the state-supplied vaccines. They should only bill for administrative costs.
The program is able to buy vaccines at discounted rates off a bulk contract compared to market prices. Providers can then receive state-supplied vaccines for all covered patients and avoid the financial and administrative burdens of purchasing vaccines and maintaining separate vaccine storage and tracking systems.
You may send further questions to info@rivaccine.org. To receive email alerts, sign up on the homepage at www.rivaccine.org.
Patients whose payers have opted into the program will not be charged for the cost of the vaccine; however, some patients may still be charged an immunization administration fee by their provider.
Yes. Pharmacists may also enroll in the Vaccine Distribution Program to receive state-supplied vaccine for all children and for adults who are covered by participating payers.
No. The Rhode Island Immunization Program provides vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) vaccines. KidsVax® takes no position for or against the administration of any particular vaccine to any specified individual.
No. This is simply a change to the funding method for RI's existing program.
The program is not funded by taxpayers. The program collects the costs of vaccines and program expenses from insurers, third-party administrators, and other payers who are already obligated to pay health care costs for their beneficiaries. These funds are paid directly to the state so the state can purchase vaccines at federal contract rates. This lowers the cost to insurers of funding immunization services.
No. The program does not set vaccine policy or create vaccine laws. It facilitates the state’s universal purchase of vaccines by collecting assessments from insurers, third-party administrators, and other payers to fund the cost of vaccines.
Yes. Eligibility status screening is still a federal/state requirement for every visit and has not changed.
Since the assessment only covers the cost of the vaccine, providers will bill either the payers or the patients directly for vaccine administration fees, as is their current practice.
Nothing in the statute prohibits this. However, it is uncertain what reimbursement rates will be set by payers since supply at $0 cost is available to providers statewide. This topic may be addressed by regulation in the future but at the current time, providers would need to negotiate this privately with payers.
No. Providers should not include any code in their billing for the state-supplied vaccines. They should only bill for administrative costs.
The program is able to buy vaccines at discounted rates off a bulk contract compared to market prices. Providers can then receive state-supplied vaccines for all covered patients and avoid the financial and administrative burdens of purchasing vaccines and maintaining separate vaccine storage and tracking systems.
You may send further questions to info@rivaccine.org. To receive email alerts, sign up on the homepage at www.rivaccine.org.
Patients whose payers have opted into the program will not be charged for the cost of the vaccine; however, some patients may still be charged an immunization administration fee by their provider.
Yes. Pharmacists may also enroll in the Vaccine Distribution Program to receive state-supplied vaccine for all children and for adults who are covered by participating payers.
No. The Rhode Island Immunization Program provides vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) vaccines. KidsVax® takes no position for or against the administration of any particular vaccine to any specified individual.
No. This is simply a change to the funding method for RI's existing program.
The program is not funded by taxpayers. The program collects the costs of vaccines and program expenses from insurers, third-party administrators, and other payers who are already obligated to pay health care costs for their beneficiaries. These funds are paid directly to the state so the state can purchase vaccines at federal contract rates. This lowers the cost to insurers of funding immunization services.
No. The program does not set vaccine policy or create vaccine laws. It facilitates the state’s universal purchase of vaccines by collecting assessments from insurers, third-party administrators, and other payers to fund the cost of vaccines.