Frequently Asked Questions
The MVB carefully considers questions posed by providers, payers and others interested in its work. It responds to items of general interest from time to time via these FAQs on this website. These FAQs also guide MVB’s service provider in administering its assessment and vaccine funding work.
Federal Vaccines for Children (VFC)
FAQs for Providers
FAQs for Payers
Federally Funded Vaccines for Children
G01. Has anything changed for the federally funded Vaccines for Children (VFC)?
Neither the federally funded Vaccines for Children entitlement, nor the state’s purchase of vaccines for children in state-sponsored medical plans, were affected by the new law. Vaccines for these groups represent around two-thirds of the state’s vaccine budget.
G02. Do providers need to screen for VFC eligibility?
G03. Do providers need to put vaccines for privately insured children in a different refrigerator from federally funded vaccines?
FAQ for Providers
P01. What is the Universal Childhood Immunization Program?
P02. Are adults covered under this program?
P03. When does this program start?
P04. How does this law affect how Medical Providers currently receive vaccines from the Maine Immunization Program?
P05. What will be the main changes to my office?
P06. What are the benefits to my office?
P07. How will this program affect patients?
P08. What will providers have to do differently?
P09. How can I participate?
Office Procedure Questions
P10. Do I need to screen for VFC (Vaccines for Children) eligibility?
P11. Will we need to separate our vaccines (insured /VFC) in the refrigerator?
P12. Will healthcare providers still need to complete the required vaccine reports to public health in addition to the new track...
Vaccine Purchasing Questions
P13. What vaccines are covered by the Universal Childhood Immunization Program?
P14. Should I buy seasonal childhood influenza vaccine for next year?
P15. Does the state purchase the nasal spray flu vaccine, Flu mist?
Yes. This vaccine is one of the types of flu vaccine that will be available through the Universal Childhood Vaccine Program.
P16. Will the state still be selecting the vaccines available, or will we have a choice?
P17. Will the types of vaccine be different between children with private health insurance and other children?
No, the same vaccines will be available to all children.
P18. Will vaccines be allocated?
Not typically. If there is a national shortage or a vaccine is received in multiple shipments (like seasonal childhood influenza vaccine), those vaccines will be allocated. Vaccine orders will continue to be monitored based on past usage and inventory to ensure that physicians and other healthcare providers have no more than 45 days of inventory at any given time. The goal is to make sure physicians and other healthcare providers have enough vaccine to vaccinate children when they are in the office.
P19. What if a vaccine is in shortage or not available through the universal program?
P20. What if my office no longer wants to participate in the state program but does want to privately purchase and bill for vacci...
P21. Can I still bill the insurers normally for the vaccine administration fee?
P22. What if a patient’s parents/guardian cannot pay the administration fee?
P23. How do I get paid for my privately-purchased childhood vaccines on hand as of January1, 2012?
See information on the Provider Transitional Loss Mitigation Program (PTLMP) established for your benefit by the MVB.
FAQs for Payers
A01. Are carriers the only ones paying for Maine Vaccines?
A02. How are an entity’s assessments determined?
A03. Are there any other penalties?
A04. Where may I obtain more information?
A05. Where do I go to complete the online assessment?
A06. Are there any tutorials on the use of this system?
A07. How often do I have to report?
Quarterly. Within 45 days of each July 1, October 1, January 1, and April 1, payers must pay the assessment for the preceding quarter. Accordingly, a quarterly report and payment is due on or before each August 15, November 15, February 15 and May 15 of each fiscal year. The new MVB fiscal year begins each July 1.
A08. If I am a TPA who has determined I have zero covered lives, am I still required to report every quarter?
No. If you are a TPA, special benefits plan, or any type of insurer that does not provide basic health care and therefore has zero child covered lives, you are only required to report once a year, in the first quarter of each year. MVB’s fiscal year starts July 1, so that means this zero covered lives report is due November 15 for the quarter ending September 30.
A09. If our company has no covered lives, but that changes in the future, what do I do?
A10. What if I have already registered, but need to change some of the information?
A11. If I make a mistake in my report, how do I correct it?
A12. If I reported too many covered lives, but have already sent the check, can I be reimbursed?
Yes. Please email info@MEvaccine.org explaining the mistake and the amount needed for reimbursement. The MVB will then determine the best way to reimburse you whether by check or a deduction from your next quarterly assessment.
A13. Do I need to print and send my remittance form with the check?
A14. What address do I send the check to?
A15. When is my remittance considered paid?
A16. If I send the check on the 15th must I overnight it?
A17. Can I wire transfer instead?
A18. What if I am late?
A19. Whom do I contact if I have a question or a problem?
You can email info@MEvaccine.org, or call 1-855-543-7829. We welcome any opportunity to assist you.
A20. Is more information available on how to correct any overpayment or underpayment by my company?
Yes, please email us at info@MEvaccine.org. Please provide the number of covered lives filed and the number that should have been filed. We will make the necessary changes.