Providers are not reimbursed for the vaccine through Texas Medicaid. Providers must not bill the client for influenza vaccine that is available through TVFC. Any physician, physician’s assistant, nurse practitioner, or certified nurse midwife may enroll in TVFC regardless of their type of practice. A provider enrolled in TVFC is not required to provide the full range of childhood immunizations and may opt to give only seasonal influenza vaccine.
More information about TVFC, including an enrollment application, can be found on the TVFC website at www.dshs.state.tx.us/immunize/tvfc/default.shtm.
Providers are expected to follow Advisory Committee on Immunization Practices (ACIP) recommendations that relate to the prevention and control of influenza. This information can be found on the ACIP website at www.cdc.gov/vaccines/recs/acip/default.htm.
Reimbursement of the administration fee through Texas Medicaid may be considered when providers bill the appropriate administration and influenza vaccine procedure codes. Providers may refer to the 2009 Texas Medicaid Provider Procedures Manual, Appendix H, “Immunizations,” and section 36.4.20.5, “Influenza Vaccine.” for additional information.