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Get the free VVFC Vaccine Accountability Report - vdh virginia

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A report for recording doses administered to VVFC eligible patients, inventory of vaccines, and storage temperatures for compliance with vaccination guidelines.
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How to fill out vvfc vaccine accountability report

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How to fill out VVFC Vaccine Accountability Report

01
Begin by downloading the VVFC Vaccine Accountability Report template from the official website.
02
Enter the date of the report at the top of the document.
03
Fill in the facility name and address where the vaccine is stored.
04
List all vaccines received, including their lot numbers and expiration dates.
05
Record the quantities of each vaccine that were used during the reporting period.
06
Include information about any vaccines that were wasted or returned.
07
Verify inventory levels by counting the remaining vaccines.
08
Sign and date the report at the bottom to certify the accuracy of the information.
09
Submit the completed report to the designated health department or agency as instructed.

Who needs VVFC Vaccine Accountability Report?

01
Healthcare providers participating in the Vaccines for Children Program (VVFC).
02
Clinics and facilities that store and distribute vaccines for eligible children.
03
State or local health departments that monitor vaccine inventory and usage.
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90647 Hemophilus influenza B vaccine (Hib), PRP-OMP conjugate, 3 dose schedule for intramuscular use. 90648 Hemophilus influenza B vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use.
VFC-funded vaccine claims for the immunization administration fee can be submitted as a pharmacy claim through Medi-Cal Rx for both Medi-Cal fee-for-service and managed care plan (MCP) members; or as a medical claim to either DHCS (CA-MMIS) for fee-for-service members, or to the MCP's medical benefit for MCP members.
Each provider is responsible to determine the appropriate amounts of vaccine to order based on their patient population and to meet vaccine demand. Providers should order enough vaccine to avoid running out before their next ordering schedule but should also avoid stockpiling excessive vaccine inventory.
In ance with federal law, VFC providers must maintain immunization records that include ALL of the following elements: (1) name of vaccine administered; (2) date vaccine was administered; (3) date VIS was given; (4) publication date of VIS; (5) name of vaccine manufacturer; (6) vaccine lot number; (7) name and
Administration services for these preventive vaccines are reported to Medicare using HCPCS codes as follows: G0008 administration of influenza virus vaccine. G0009 administration of pneumococcal vaccine.
The administration fee for the VFC Measles, Mumps, Rubella and Varicella (MMRV) vaccine is billed with CPT code 90710 and modifier SL for children 12 months through 12 years of age (before the 13th birthday) who need a first or second dose of MMR and varicella vaccine.

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The VVFC Vaccine Accountability Report is a document used to track and document the distribution, usage, and accountability of vaccines obtained through the Vaccines for Children (VVFC) program.
Healthcare providers and organizations that receive vaccines through the VVFC program are required to file the VVFC Vaccine Accountability Report.
To fill out the VVFC Vaccine Accountability Report, providers must enter data on vaccine inventory, doses administered, and any wastage or losses, ensuring all fields are accurately completed as per the guidelines provided.
The purpose of the VVFC Vaccine Accountability Report is to ensure proper tracking of vaccine usage, maintain accountability for public funds, and ensure that vaccines are being used effectively to protect public health.
The information that must be reported includes the number of vaccines received, doses administered, doses wasted, and current inventory levels, along with any relevant dates and identifiers.
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