North Carolina Immunization Program (NCIP) Overview

North Carolina North Carolina Immunization Immunization

Program (NCIP) Program (NCIP)

OverviewOverview

About the NCIP:About the NCIP:

Our Purpose:Our Purpose: To promote public health To promote public health through the identification and elimination through the identification and elimination of vaccine-preventable diseases.of vaccine-preventable diseases.

Our Goals:Our Goals: To ensure age-appropriate vaccinationsTo ensure age-appropriate vaccinations To keep children in their medical homes, To keep children in their medical homes,

andand To remove cost as a barrierTo remove cost as a barrier

Who we serve:Who we serve: Children through 18 years of ageChildren through 18 years of age

What we provide:What we provide: Federally funded vaccine provided by Federally funded vaccine provided by

the CDC based on NC’s populationthe CDC based on NC’s population Where do we supply vaccine:Where do we supply vaccine:

Local Health DepartmentsLocal Health Departments Federal and Rural Health CentersFederal and Rural Health Centers 95% of Private Providers 95% of Private Providers HospitalsHospitals

About the NCIP:About the NCIP:

ChangeChange

Quick History of NCIPQuick History of NCIP

1994 – The NC Universal Childhood 1994 – The NC Universal Childhood Vaccine Distribution Program Vaccine Distribution Program (UCVDP) launched(UCVDP) launched Using a combination of state and federal Using a combination of state and federal

funding, ALL children in NC are able to funding, ALL children in NC are able to receive ALL vaccines, free of chargereceive ALL vaccines, free of charge

Life was good!Life was good! Transition from LHDs to private providersTransition from LHDs to private providers Immunization rates increase!Immunization rates increase!

2000 – NC Becomes a Universal-2000 – NC Becomes a Universal-Select ProgramSelect Program Cost of new vaccinesCost of new vaccines

PrevnarPrevnar

Required vaccinesRequired vaccines Provided UniversallyProvided Universally

Complicated systemComplicated system Public vs Private vaccine stocksPublic vs Private vaccine stocks


Significant MilestonesSignificant Milestones

20052005 NCIR is LaunchedNCIR is Launched NC is one the top 10 states with the NC is one the top 10 states with the

best immunization rates in the country!!best immunization rates in the country!!

2009 2009 State Budget Cuts OccurState Budget Cuts Occur


2010 – More Cuts… 2010 – More Cuts… As of July 1, 2010 – NC is a VFC-only As of July 1, 2010 – NC is a VFC-only

statestate


Who Decides?Who Decides?

Piggy Bank is EmptyPiggy Bank is Empty

What Now?What Now?

North Carolina = VFC onlyNorth Carolina = VFC only Providers – Public and PrivateProviders – Public and Private

Order vaccine for VFC eligible childrenOrder vaccine for VFC eligible children No more ordering vaccine for ALL No more ordering vaccine for ALL

childrenchildren Providers will purchase vaccine for Providers will purchase vaccine for

insured patientsinsured patients

Who is Eligible for VFC Who is Eligible for VFC Vaccine?Vaccine?

ChildrenChildren Birth through 18 years of ageBirth through 18 years of age

Must be:Must be: Medicaid eligible: Medicaid eligible and Medicaid eligible: Medicaid eligible and

Medicaid enrolled are the sameMedicaid enrolled are the same Uninsured: No health insurance Uninsured: No health insurance

coveragecoverage American Indian or Alaska NativeAmerican Indian or Alaska Native UnderinsuredUnderinsured

Fees and ChargesFees and Charges

Providers CANNOT bill for cost of Providers CANNOT bill for cost of vaccinevaccine

Administration FeeAdministration Fee CANNOT DenyCANNOT Deny

Vaccine OrderingVaccine Ordering

Help Desk Monitors orders closelyHelp Desk Monitors orders closely Assess VFC population based on Assess VFC population based on

provider profileprovider profile Last month’s usageLast month’s usage Administered during last 3 monthsAdministered during last 3 months Inventory on handInventory on hand

Transition PlanTransition Plan

$3 million one time funding$3 million one time funding Ensure children are up to date for Ensure children are up to date for

school entryschool entry Kindergarten through 8Kindergarten through 8thth grade grade Local Health DepartmentsLocal Health Departments Private ProvidersPrivate Providers

NCIP ChangesNCIP Changes

Will I still be able to get vaccine Will I still be able to get vaccine from you?from you?

What if I don’t see Medicaid kids?What if I don’t see Medicaid kids? Can I continue to use NCIR?Can I continue to use NCIR?

More Questions?More Questions?

Can I use inventory for insured kids?Can I use inventory for insured kids? Do I have to keep a private supply?Do I have to keep a private supply? How do I purchase private vaccine?How do I purchase private vaccine? Can I borrow VFC vaccine?Can I borrow VFC vaccine? How do I report doses administered?How do I report doses administered? Will vaccines for adults still be Will vaccines for adults still be

available?available?

What are the providers’ What are the providers’ responsibilities?responsibilities?

NCIP Vaccine Agreement-NCIP Vaccine Agreement- All All providers have to stay in compliance providers have to stay in compliance with the agreement that is signed. with the agreement that is signed. Failure to do so may result in Failure to do so may result in termination from the program. termination from the program.

North Carolina Immunization North Carolina Immunization Laws-Laws- Provide every child present Provide every child present immunizations required by state lawimmunizations required by state law

Vaccines for Children (VFC) –Vaccines for Children (VFC) – Verify Verify the client’s eligibility to make sure the client’s eligibility to make sure that they qualify for VFC vaccines. that they qualify for VFC vaccines.

Site Visits – Site Visits – Required to allow Required to allow periodic VFC educational site visits periodic VFC educational site visits and inspection of vaccine supplies and and inspection of vaccine supplies and records as requested by the records as requested by the Immunization Branch. Immunization Branch.

What are the providers’ What are the providers’ responsibilities?responsibilities?

Quick TipsQuick Tips

New Address –New Address – The facility needs The facility needs to report the new address at least to report the new address at least ten (10) days before the move to the ten (10) days before the move to the Help Desk. Help Desk.


Staff Turnover –Staff Turnover – If there are any If there are any changes in immunization staff (such changes in immunization staff (such as the lead physician, health director as the lead physician, health director who signed the provider agreement, who signed the provider agreement, main point person for vaccine main point person for vaccine deliveries, etc.) – please notify the deliveries, etc.) – please notify the Help Desk within 10 days!Help Desk within 10 days!


Joining Satellite Clinics –Joining Satellite Clinics – If the If the satellite clinic is more than an hour satellite clinic is more than an hour away from the main site, it is best to away from the main site, it is best to have the clinic set up as its own have the clinic set up as its own individual site in the NCIP. individual site in the NCIP.


Leaving the Program –Leaving the Program – If you If you want to leave the NCIP or if your want to leave the NCIP or if your office closes – please call the Help office closes – please call the Help Desk ASAP. Desk ASAP.

What Are Your What Are Your Questions?Questions?

On to the fun… On to the fun…

Documents

North Carolina Immunization Program (NCIP) Overview