AdministrativeMedicaid Managed CareMay 18, 2023

Immunizations Covered by Vaccines for Children (VFC)

Immunizations covered by Vaccines for Children

Anthem Blue Cross and Blue Shield (Anthem) providers who administer vaccines to children from 0 to 18 years of age should enroll in the Vaccines for Children program (VFC). Anthem will reimburse the administration fee for vaccines available through the VFC program only.

When billing multiple immunizations on a claim, providers should bill the administration code on multiple lines with one unit. Anthem does not require the SL modifier to be appended.

For more information regarding VFC, visit the Ohio Department of Health’s website. To read the VFC’s Reimbursement Policy in full, click here.

OHBCBS-CD-025207-23

PUBLICATIONS: June 2023 Provider Newsletter