Get (vfc) Program Provider Profile Form Supplemental - California ... - Cdph Ca

Who can be a VFC provider? Any California-licensed M.D., D.O., or health care organization serving VFC-eligible children can become a VFC provider. The VFC Program has earned high marks from California doctors for making it easy to provide high quality care to their patients.

What are the Costs or Fees? There is no charge for any vaccines given by a VFC provider to eligible children.

How often should the provider profile form and provider agreement form be completed and submitted to your state or local immunization program? At minimum, vaccine management plans and standard operating procedures should be reviewed once a year.

Enrollment into the VFC Program is done via MCIR. New providers can complete an online enrollment by accessing the Enroll in VFC Program link from their MCIR home page. Once the form is completely filled out they must submit the form, which goes to the local health department for their county.

The provider agreement describes VFC program requirements and is used to document the provider's agreement to comply with the requirements. It must be signed annually by the medical director (or equivalent) in a group practice.

VFC providers are required to maintain all records related to the VFC program for a minimum of three years (or longer if required by state law) and upon request make these records available for review.

By law, the following information must be documented on the patient's paper or electronic medical record (or on a permanent office log): The vaccine manufacturer. The lot number of the vaccine. The date the vaccine is administered.

The provider agreement describes VFC program requirements and is used to document the provider's agreement to comply with the requirements. It must be signed annually by the medical director (or equivalent) in a group practice.