Vaccinations

IMMUNIZATION PROGRAM FOR CHILDREN

All PCPs should make certain that appropriate immunizations are available for members 18 years of age and younger.  Vaccines are available at no charge to public and private providers for eligible children ages newborn through 18 years through the federal Vaccines For Children (VFC) program. To participate, providers must enroll in VFC even if already enrolled with Medi-Cal or the Child Health and Disability Prevention (CHDP) Program.

To enroll in the VFC program or receive more information, providers should contact the Department of Health Care Services (DHCS) Immunization Branch by telephone at:  (877) 243-8832, by fax at (877) 329-9832 or by writing to the following address:

VFC Program
Immunization Branch
Department of Health Care Services
850 Marina Bay Parkway, Building P
Richmond, CA  94804-6403

California Health & Wellness will reimburse an administration fee per dose to providers who administer the free vaccine to eligible members through the VFC program or other sources. Please refer to your Provider Manual for instructions on how to submit claims.

ADULT VACCINATION PROGRAM

In addition to offering in-office vaccinations, California Health & Wellness providers can now refer members age 19 and older to participating pharmacies for commonly-administered adult vaccines. You can now refer members to our Pharmacy network, which is comprised of the same pharmacies as our Flu network, including CVS, Walgreens, Rite Aid, Target, Wal-Mart, regional chains, and local independents.

The goal of the program is to reduce scheduling and resource hassles for our providers, while positively impacting HEDIS measures and improving member outcomes.

COVERED VACCINES:

  • Flu
  • Hepatitis A
  • Hepatitis B
  • Herpes Zoster (Shingles)
  • Human Papillomavirus (HPV)
  • Measles, Mumps, Rubella (MMR)
  • Meningococcal
  • Pneumococcal
  • Tetanus and Diphtheria (Td)
  • Tetanus, Diphtheria and Pertussis (Tdap)
  • Varicella (Chickenpox)
  • Rabies

GET VACCINES AT PHARMACIES INCLUDING:

  • CVS Pharmacy
  • Target Pharmacy
  • Walgreens
  • Other participating pharmacies
  • Locate a participating pharmacy: call Provider Services at 1-877-658-0305.

Please view our Preferred Drug List for restrictions.

Additionally, California Health & Wellness encourages providers to participate in the California Immunization Registry (http://cairweb.org/) a statewide entity. Imperial County providers are encouraged to participate in the Imperial County Public Health Information Management System, an immunization registry that serves Imperial County. Immunization registries are important tools for improving rates of vaccination across the state, and active use of these tools by California Health and Wellness providers supports accurate documentation of HEDIS measures for the plan.