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This form is used to collect demographic information about VFC providers, including details for shipping and mailing contacts, as well as facility type and practitioners administering vaccines.
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How to fill out vfc provider information

How to fill out VFC PROVIDER INFORMATION
01
Start by accessing the VFC Provider Enrollment form.
02
Fill out the provider's name, address, and contact information.
03
Enter the provider's license number and National Provider Identifier (NPI).
04
Specify the type of practice and services offered.
05
Include information about the practice's immunization capability.
06
Provide backup contacts and their information.
07
Review the information for accuracy before submission.
Who needs VFC PROVIDER INFORMATION?
01
Healthcare providers who wish to participate in the Vaccines for Children (VFC) program.
02
Pediatricians, family physicians, and clinics providing immunization services.
03
Providers serving uninsured or underinsured children who need vaccines.
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People Also Ask about
What is the VFC program in California?
The Vaccines for Children (VFC) Program helps families by providing vaccines at no cost to medical providers who serve eligible children from birth through 18 years of age. CDC contracts with vaccine manufacturers to buy vaccines at reduced rates.
What is the VFC program in Texas?
Q: What is VFC? A: The Texas Vaccines for Children Program (TVFC) offers vaccines at no cost for eligible children through VFC-enrolled doctors/clinic.
What are VFC codes?
Vaccines for Children (VFC) Program Update: Fee Schedule Code Revisions CPT CodeDescription 90648 Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4-dose schedule), for intramuscular use 90649 Human papilloma virus (HPV) vaccine, types 6, 11, 16, 18 (quadrivalent), 3-dose schedule, for intramuscular use24 more rows
What three VFC roles are required at every VFC site?
*My location has identified key staff who will oversee the VFC Program at the location, and be responsible for vaccine management and vaccine ordering activities. These key roles include: a provider of record, a primary vaccine coordinator, a backup vaccine coordinator, and a provider of record designee.
What three VFC roles are required at every VFC site?
*My location has identified key staff who will oversee the VFC Program at the location, and be responsible for vaccine management and vaccine ordering activities. These key roles include: a provider of record, a primary vaccine coordinator, a backup vaccine coordinator, and a provider of record designee.
What is a California VFC provider?
The Vaccines for Children (VFC) Program helps families by providing vaccines at no cost to medical providers who serve eligible children from birth through 18 years of age. CDC contracts with vaccine manufacturers to buy vaccines at reduced rates.
What is the VFC replacement model?
A vaccine ordering replacement model is where providers supply the initial vaccine stock for their patient population and, as doses are used for VFC-eligible children, those doses are replaced by the awardee.
What does VFC mean?
VFC is an acronym for the Vaccines for Children program. The VFC program is a federally funded initiative in the United States that provides vaccines at no cost to eligible children who might not otherwise be vaccinated due to financial barriers.
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What is VFC PROVIDER INFORMATION?
VFC Provider Information refers to the data collected from healthcare providers who participate in the Vaccines for Children (VFC) program, which provides vaccines at no cost to children who are uninsured, underinsured, or eligible for Medicaid.
Who is required to file VFC PROVIDER INFORMATION?
All healthcare providers who wish to participate in the VFC program are required to file VFC Provider Information.
How to fill out VFC PROVIDER INFORMATION?
VFC Provider Information is filled out by completing a designated form that includes details about the healthcare provider's practice, including provider type, eligibility criteria for VFC, and the number of eligible children served.
What is the purpose of VFC PROVIDER INFORMATION?
The purpose of VFC Provider Information is to ensure that healthcare providers meet the requirements to participate in the VFC program and to monitor the distribution of vaccines to eligible children.
What information must be reported on VFC PROVIDER INFORMATION?
Information that must be reported includes the provider's contact details, practice type, number of children eligible for VFC vaccines, storage and handling practices, and any prior participation in immunization programs.
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