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Calling the Shots: Immunization Finance Policies and Practices
requirements (letter from Sally Richardson to State Medicaid Directors dated May 11, 1998, <http://www.hcfa.gov>). SCHIP-enrolled children in freestanding programs are considered insured and thus are ineligible for VFC vaccines.
Based on MEPS estimates of eligible but not enrolled children for Medicaid and SCHIP (Selden et al., 1999).
Based on 1998 Current Population Survey estimates of the number of persons under 18 who are uninsured (11 million) and MEPS estimates of those eligible for Medicaid and SCHIP but not enrolled (Selden et al., 1998; Selden et al., 1999).
States that administer mandatory managed care programs under either §§1115 or 1915(b) of the Social Security Act can offer additional benefits to managed care enrollees.
Medicare outpatient benefits, including immunizations, are provided under Part B of the program. Medicare Part A covers hospital and nursing home care.
For example, anti-rabies treatment, tetanus antitoxin or booster vaccine, botulin antitoxin, antivenin sera, or immune globulin.
There is a single national Medicare relative value scale (RVS) code, or payment weight, for vaccine administration. Like other physician services included in the RVS-based Part B payment system, the actual payment amount for vaccine administration varies according to a Geographic Practice Cost Index that distinguishes 360 localities nationally according to their relative medical practice input prices. These fees are also updated annually for general inflation.