Vaccine Financing | Vermont Department of Health

Vaccine Financing | Vermont Department of Health
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Vaccine Financing
Immunization & Health Care Professionals
Vermont Child Vaccine Program / Vermont Adult Vaccine Program
Vaccine Ordering
Vaccine Storage and Handling
Respiratory Virus Vaccine Information for Health Care Professionals
Immunization Quality Improvement for Providers
Perinatal Hepatitis B
Vaccine Financing
Vermont is a universal vaccine state, providing vaccines to enrolled providers at no cost for use with all patients, regardless of insurance status.
The Vermont Vaccine Purchasing Program (VVPP)
collects funding from health insurers quarterly based on covered lives. Insurer funding is combined with federal funding to support the purchase of vaccines from the Centers for Disease Control & Prevention (CDC) federal contract at the lowest price. The VVPP began as a pilot program in 2011, and in 2014 legislation passed that ensured a permanent, sustainable universal vaccine program.
The Health Department has contracted with
KidsVax®
to create and manage the website that allows health insurers to securely submit their quarterly Vermont covered lives data, generate a report, and prepare an invoice. The website also includes information about the program for health care providers, payers and the public.
As a result of collecting payments from health plans, insurers and other payers, the
Vermont Vaccine Purchasing Program
makes it possible for:
Health care providers to receive state-supplied vaccines at no charge
Children to have easy access to all recommended vaccines
Adults (19 to 64 years) to have access to all recommended vaccines through their health care provider
All payers to participate in an efficient, cost-effective system for purchasing and distributing vaccines.
Vermont Vaccine Purchasing Program
Information for Health Care Providers
Billing for State-Supplied Vaccine
When a Vermont health care provider receives state-supplied vaccine, the Health Care Procedure Coding Systems (HCPCS) National Level II Medicare Code Modifier (SL: State supplied vaccine) must be used when submitting information on claims forms to insurers.
All vaccine administration billing must be supported with an accompanying zero ($0.00) or one ($0.01) cent claim identifying the vaccine administered by CPT code a vaccine code, even when there is no amount to be reimbursed. The Vermont Department of Health has no preference regarding whether state-supplied vaccines are billed with a charge of $0.00 or $0.01.
Vaccine for Children/Adults - Vaccine Availability & Eligibility
This vaccine availability sheet provides information about the current availability of vaccines that are offered through the Vermont Vaccine Program. Practices can change what vaccines they receive through the VVP annually, each July.
Information for Payers (Health Insurers)
CDC Vaccine Price List
The CDC Vaccine Price Lists displays current vaccine contract prices, as well as private-sector vaccine prices for general information. Contract prices are for CDC vaccine contracts used by immunization programs funded by CDC cooperative agreements, such as the Vermont Department of Health.
Immunization Advisory Committee Meeting Minutes
Meeting Agenda 01.30.2017
Meeting Minutes 01.31.2017
Meeting Minutes 05.28.2018
Meeting Minutes 05.03.2019
Meeting Minutes 06.04.2020
Meeting Minutes 02.08.2022
Meeting Minutes 10.27.2023
For questions regarding the Vermont Vaccine Purchasing Program, please contact the Vermont Department of Health’s servicing agent, KidsVax.org® at 1-855-KidsVax (543-7829) or
[email protected]
Topics:
Immunization
January 7, 2026