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Advisory FAQs


The Vermont Vaccine Purchasing Program (VVPP) operates to ensure that all Vermonters have access to immunizations recommended for children and adults. Authorized by 18 V.S.A. § 1130 and launched on April 1, 2011, the program establishes an insurer-funded vaccine purchasing pool that enables the Vermont Department of Health (VDH) to purchase pediatric and adult vaccines at the lowest possible price and to distribute them to providers free of charge. The program serves two main goals: to lower health care costs and to improve Vermonters’ health by raising immunization rates.

These advisory FAQs offer guidance about the program to payers and providers. Final FAQs will be published at the end of the implementation process and then updated, as needed, from time to time. VDH invites anyone having suggestions or additional questions about these advisory FAQs to direct inquiries to info@VTvaccine.org.

The advisory FAQs are divided into five broad categories:

1. “A” means questions related to Assessments.
2. “C” means questions related to Covered Lives.
3. “G” means questions related to Government Programs.
4. “P” means questions related to Providers.
5. “V” means questions related to Vaccines.

Assessments

Show details for A1. Why did the Vermont legislature form the Vermont Vaccine Purchasing Program (VVPP)?A1. Why did the Vermont legislature form the Vermont Vaccine Purchasing Program (VVPP)?
Show details for A2. Are insurance carriers the only ones paying for vaccines administered in Vermont?A2. Are insurance carriers the only ones paying for vaccines administered in Vermont?
Show details for A3. What does “Assessed Entity” mean?A3. What does “Assessed Entity” mean?
Show details for A4. Must both the employer and the insurer or TPA administering the plan pay the assessment for a given covereA4. Must both the employer and the insurer or TPA administering the plan pay the assessment for a given covered life?
Show details for A5. Must ERISA plans pay the assessment?A5. Must ERISA plans pay the assessment?
Show details for A6. Are any plans excused from paying assessments? A6. Are any plans excused from paying assessments?
Show details for A7. How are an entity’s assessments determined?A7. How are an entity’s assessments determined?
Show details for A8. What are the 2014 VVPP assessment rates for child and adult covered lives?A8. What are the 2014 VVPP assessment rates for child and adult covered lives?
Show details for A9. What method will be used to: a) determine the number of children and adults with private insurance and b) A9. What method will be used to: a) determine the number of children and adults with private insurance and b) determine the VVPP program costs that will be factored into the assessment?
Show details for A10. Where can I find more details about the VVPP assessment rate calculation?A10. Where can I find more details about the VVPP assessment rate calculation?
Show details for A11. When are assessment payments due?A11. When are assessment payments due?
Show details for A12. What if VVPP collects too little?A12. What if VVPP collects too little?
Show details for A13. What if VVPP collects too much?A13. What if VVPP collects too much?
Show details for A14. What if a beneficiary gets a vaccine in a neighboring state—can the payer get a discountA14. What if a beneficiary gets a vaccine in a neighboring state—can the payer get a discount
Show details for A15. Are payments made by assessment payers accountable as medical expenses? A15. Are payments made by assessment payers accountable as medical expenses?
Show details for A16. Does the Patient Protection and Affordable Care Act (ACA) preempt any provisions of the VVPP?A16. Does the Patient Protection and Affordable Care Act (ACA) preempt any provisions of the VVPP?
Show details for A17. Where do I go to complete the online assessment?A17. Where do I go to complete the online assessment?
Show details for A18. Are there any tutorials on the use of this system?A18. Are there any tutorials on the use of this system?
Show details for A19. What if I have registered in the assessment system, but I need to change some of my information?A19. What if I have registered in the assessment system, but I need to change some of my information?
Show details for A20. If I make a mistake in my report, how can I correct it? A20. If I make a mistake in my report, how can I correct it?
Show details for A21. I accidentally overpaid. Can I be reimbursed?A21. I accidentally overpaid. Can I be reimbursed?
Show details for A22. How do I submit my payment? A22. How do I submit my payment?
Show details for A23. Am I required to pay by ACH transfer? A23. Am I required to pay by ACH transfer?
Show details for A24. What if I submit a late report or payment?A24. What if I submit a late report or payment?
Show details for A25. When is my remittance considered paid?A25. When is my remittance considered paid?
Show details for A26. How do I create a Password for the Assessment System on this Site?A26. How do I create a Password for the Assessment System on this Site?
Show details for A27. What should I do if my company has created a password for the assessment system on this website, but I noA27. What should I do if my company has created a password for the assessment system on this website, but I no longer have it?

Covered Lives

Show details for C1. Must entities report only child covered lives, or should adult covered lives be included as well? C1. Must entities report only child covered lives, or should adult covered lives be included as well?
Show details for C2. What are “adult covered lives”?C2. What are “adult covered lives”?
Show details for C3. What are “child covered lives”?C3. What are “child covered lives”?
Show details for C4. What if I do not know the specific address where a child resides, and am unable, therefore, to determine wC4. What if I do not know the specific address where a child resides, and am unable, therefore, to determine with certainty whether he or she is a Vermont resident?
Show details for C5. What if a child of a Vermont primary insured attends school out of state—is that life counted?C5. What if a child of a Vermont primary insured attends school out of state—is that life counted?
Show details for C6. Must an entity file reports even if it does not provide medical benefits and therefore has zero covered liC6. Must an entity file reports even if it does not provide medical benefits and therefore has zero covered lives?
Show details for C7. If an entity files a Permanant Zero Covered Lives Report, but it later has covered lives, what should it dC7. If an entity files a Permanant Zero Covered Lives Report, but it later has covered lives, what should it do?
Show details for C8. If my company has filed an Annual Zero Covered Lives Report, when should we file our next report?C8. If my company has filed an Annual Zero Covered Lives Report, when should we file our next report?

Government Programs

Show details for G1. Has VVPP changed anything for the federally-funded Vaccines for Children (VFC) program or state-sponsored G1. Has VVPP changed anything for the federally-funded Vaccines for Children (VFC) program or state-sponsored medical plans?
Show details for G2. Do providers still need to screen for VFC eligibility?G2. Do providers still need to screen for VFC eligibility?

Providers

Show details for P1. Does this program affect how providers receive vaccine?P1. Does this program affect how providers receive vaccine?
Show details for P2. What are the benefits to my practice if we enroll in the VFC and/or VFA program?P2. What are the benefits to my practice if we enroll in the VFC and/or VFA program?
Show details for P3. Can VDH require all providers to enroll in the VFC and/or VFA program?P3. Can VDH require all providers to enroll in the VFC and/or VFA program?
Show details for P4. Can VDH provide a list of participating providers in “real time”? P4. Can VDH provide a list of participating providers in “real time”?
Show details for P5. How will this program affect patients?P5. How will this program affect patients?
Show details for P6. What if my office no longer wants to participate in the VFC and/or VFA program and wants to privately purcP6. What if my office no longer wants to participate in the VFC and/or VFA program and wants to privately purchase and bill for vaccines?
Show details for P7. Should providers bill $0.00 or $0.01 for state-supplied vaccines?P7. Should providers bill $0.00 or $0.01 for state-supplied vaccines?

Vaccines

Show details for V1. Does VVPP set vaccine policy?V1. Does VVPP set vaccine policy?
Show details for V2. What vaccines are covered by VVPP? V2. What vaccines are covered by VVPP?
Show details for V3. Is the cost of seasonal flu vaccine included in the vaccine cost estimates?V3. Is the cost of seasonal flu vaccine included in the vaccine cost estimates?
Show details for V4. Does this program establish a vaccine mandate?V4. Does this program establish a vaccine mandate?
Show details for V5. What is the Immunization Registry? V5. What is the Immunization Registry?
Show details for V6. How does VVPP impact my taxes? V6. How does VVPP impact my taxes?


These FAQs were last updated on May 6, 2014.








VVPP Tax ID: 03-6000264


Copyright 2013 Vermont Vaccine Purchasing Program