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)?
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?
As directed by statute, the Maine Vaccine Board determines the list of vaccines to be made available by the Program and will review the selection annually. This vaccine selection is done through the APA rulemaking process and public input is welcome. You can submit questions or input to email@example.com. For the list of vaccines that will be offered initially, please visit the website here.
P17. Will the types of vaccine be different between children with private health insurance and other children?
P18. Will vaccines be allocated?
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...
This new legislation was designed to reach all children in Maine. It is the goal of the Maine Vaccine Board to implement this program in a way that allows all Maine healthcare providers who care for children to participate fully. The authorizing legislation for this program does not dictate whether health plans or other payers will continue to reimburse providers for any privately purchased vaccines. Each health plan or other payer will make its own policy. Please contact the health plan directly for further information.
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?
You cannot deny administration of a state supplied vaccine to an established patient because the child’s parent/guardian/individual of record is unable to pay the administration fee.
P23. How do I get paid for my privately-purchased childhood vaccines on hand as of January1, 2012?
FAQs for Payers
A01. Are carriers the only ones paying for Maine Vaccines?
No. Most self-insured employers, HMOs, TPAs and others subject to Title 24-A are subject to assessment. Substantial portions of the total cost are paid by the federal government. Additionally, by returning to universal childhood immunization, Maine receives the largest discount available from the pharmaceutical industry. No State of Maine general funds go to pay for childhood vaccinations for privately-covered children. Similarly no assessments are to be applied for vaccine purchases by Maine for children not covered by the assessments. A new Childhood Immunization Fund held in Trust by the Maine Treasurer of State assures that funds are properly used.
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?
Yes. Please click here to access web training. It is available on the web 24/7.
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?
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?
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?
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.