VFC Program

Phone: (877) 243-8832
Hours PST:
Mon-Thurs, 9AM–4:30PM
Friday, 9AM–4PM
Email:
MyVFCVaccines@cdph.ca.gov
Fax: (877) 329-9832

Provider Call Center

For VFA, LHD 317, and SGF,
myCAvax and
MyTurn Clinic IT support
Phone: (833) 502-1245
Hours PST:
Mon-Thurs, 9AM-4:30PM
Friday 9AM-4PM
Email: providercallcenter@cdph.ca.gov

Feedback for Immunization Systems

317 Eligibility Screening & Documentation Requirements

Screen for Eligibility

Eligibility screening must be conducted prior to the administration of any 317-funded vaccines including Vaccines for Adults (VFA) or Local Health Department (LHD) 317. Eligibility is self-reported by the patient and verification of eligibility can be obtained verbally from the patient.

Eligible for VFA or LHD 317 vaccines if at least 19 years of age and

  1. Has no insurance, or
  2. Is underinsured: health insurance doesn’t cover vaccines; doesn’t cover all ACIP-recommended vaccines; covers vaccines but with a fixed dollar limit; does not provide first-dollar coverage (i.e., copay, co-insurance or deductible is required).

Eligible for certain VFA or LHD 317 vaccines if at least 19 years of age and

  1. Has Medicare Part B but not Part D, patient is eligible for:
    • Hep A
    • HPV
    • MenACWY, MMR, Polio (IPV)
    • RSV, Tdap
    • Varicella and Zoster
  2. Has Medicare Part D but not Part B, patient is eligible for:
    • COVID-19, Hep B, PCV20/PCV21

Document Patient’s Eligibility

There are three important elements to include when you document a patient’s eligibility:

  1. Date of screening
  2. If patient is eligible for VFA or LHD 317 vaccines (Y/N)
  3. If patient is eligible and at least 19 years of age, document which of the criterion above is met (e.g., “317”)

Use a Compliant Record Keeping System

Providers must document the results of the eligibility screening in the patient’s permanent medical record using 

  1. CAIR and Electronic Health/Medical Record (EHR/EMR) or
    Note: if your practice’s EMR/EHR does not capture all the necessary screening elements, they may be documented in the system’s notes section.
  2. 317 Eligibility Screening Record for Adult Patients (PDF)
    Note: Maintain patient eligibility screening records for a minimum of 3 years

Communicate the Patient’s Eligibility

All staff should be knowledgeable of eligibility. Ensure practice protocols are in place so vaccinators know when to use 317-funded versus private vaccines.

 

* The adult person would qualify for 317-funded vaccines if they have any copay, co-insurance, and/or deductible for the cost of the vaccine. This policy does not apply for any co-pay, etc., for administration or office visit fees.