The Vaccines for Adults at Risk (VFAAR) Program makes vaccine available to select providers serving adults at high-risk for vaccine preventable diseases. Please contact staff at the VFAAR Program for more information on how to enroll as a VFAAR Program site.
VFAAR policies, forms and resources are listed below, under Provider Responsibilities and in the VFAAR Program Manual.
Benefits of Enrolling in VFAAR
Benefits of Enrolling as a VFAAR Provider
By removing financial barriers to immunization for both patients and providers, VFAAR:
- Ensure timely immunizations for at-risk adults.
- Reduce missed opportunities for immunization.
- Free program participation for immunization providers.
- No out-of-pocket costs to patients for vaccines.
VFAAR Provider Enrollment
Before you submit the VFAAR Enrollment forms, please ensure that your office meets these qualifications. You must:
- Serve VFAAR-eligible adult patients (patients age 19 through 64 years, uninsured adults only)
- Have appropriate refrigeration and freezer units (no dorm style units)
- Record vaccine storage unit temperatures twice per day on VFAAR temperature logs
- Submit two weeks of vaccine storage temperature logs for review before finalizing program enrollment
- Have access to the Internet to order vaccines online
- Electronically report all administered vaccines to KIDS Plus IIS on at least a monthly basis
- Agree to and abide by the requirements and regulations described on the VFAAR Enrollment forms
Provider Enrollment Forms
All VFAAR providers are required to complete VFAAR enrollment forms annually, due each June.
VFAAR Eligible Adults
VFAAR screening of an adult must occur at every visit, and must be documented at every visit. VFAAR eligibility may differ by site.
Eligible for VFAAR Vaccine
- Between the ages of 19 and 64 years
- Site-specific requirements
Not Eligible for VFAAR Vaccine
- Medicaid and Medicare patients
- Privately-insured adults
- Anyone younger than 19 years or older than 64 years
ACIP Adult Immunization Schedules
VFAAR providers must comply with current immunization schedules, dosages and contraindications as established by the Advisory Committee on Immunization Practices (ACIP).
The U.S. Recommended Adult Immunization Schedule indicates the recommended ages for routine administration of currently licensed vaccines for adults older than 18 years.
Additional vaccines may be licensed and recommended during the year.
ACIP Adult Immunization Schedule
VFAAR Fees and Finance
VFAAR-funded vaccine is supplied free of charge to enrolled providers; however, it does not come without cost to the Philadelphia VFAAR Program. VFAAR vaccine is purchased from manufacturers under contract using federal taxpayer dollars, which is why the VFAAR Program must strictly enforce its policy of holding providers financially responsible for vaccine wasted through negligence.
Other VFAAR Financial Responsibilities
- Do not charge for VFAAR vaccine.
- Do not impose a vaccine administration fee higher than the fee cap established by the Center for Medicaid and Medicare Services (CMS) and the Commonwealth of Pennsylvania, which is currently $23.14 per vaccine.
- Do not deny immunization services to any VFAAR eligible adult even if the patient is unable to pay the administration fee.
Ordering VFAAR Vaccine
Providers enrolled in the VFAAR Program are responsible for ordering appropriate amounts of vaccine and maintaining proper vaccine inventory. Vaccine needed for a practice is based on the number of VFAAR-eligible adults seen in a practice as reported on the Medical Practice Profile and validated by KIDS Plus IIS.
Newly enrolled and trained providers must order VFAAR vaccine through the KIDS Plus IIS vaccine ordering system. Find more information on that system here.
For providers who are unable to order online, use these paper order forms:
Paper Order Forms
VFAAR Site Visits
The Philadelphia VFAAR Program conducts regular site visits of enrolled provider sites to ensure compliance with VFAAR Program requirements. Providers should expect a site visit at least once every 2 years, but these may occur more frequently. Depending on the type of visit, some preparation may be required of the provider/staff prior to the visit.
VFAAR Quality Assurance Site Visits
- VFAAR visits
- Storage & handling visits
- Follow-up visits, as needed
More information about these visits can be found in the VFAAR Program Manual.
Reasons for VFAAR Suspension
Providers can be suspended from the VFAAR Program for a variety of program violations. The suspension is not a permanent termination of program privileges, so long as the violations are addressed in a timely manner. Upon suspension, a provider will be unable to place orders for VFAAR vaccine.
Reasons for VFAAR Program Suspension
- Negligence in vaccine storage and handling
- Inability to account for vaccine supplied by VFAAR
- Improper vaccine administration (not following ACIP recommendations, etc.)
- Transferring vaccine between sites
- Administering VFAAR vaccine to patients who are not VFAAR eligible
- Refusal to cooperate with required VFAAR site visits
Fraud and Abuse
As the cost of vaccines increases and the complexity of immunization programs grows, the VFAAR Program becomes more vulnerable to fraud and abuse. Therefore, the VFAAR Program actively works to prevent, identify, investigate, and resolve all cases and suspected cases of fraud and abuse within the VFAAR Program.
Other VFAAR Policies
Background of the VFAAR Program
History of the Vaccines for Adults at Risk Program
The creation of the Vaccines for Children entitlement program in 1993 allowed PDPH to reallocate federal discretionary 317 funding to immunize at-risk adults. The adult immunization program started in 1994, targeting at-risk adults in shelters with Hepatitis A & B, influenza, and Td vaccines. The program has since expanded to include more community partners and vaccines, but still has the goal of serving the mostly medically at-risk adults in Philadelphia.
Philadelphia VFAAR Program Statistics
As of March 2013, VFAAR had 59 facilities enrolled in the program. In 2012, the Philadelphia Immunization Program distributed 13,295 doses of vaccines to VFAAR sites.
VFAAR Program sites include HIV treatment centers, FQHCs, health clinics in methadone maintenance programs, medical clinics that work with social service organizations, family planning, STD clinics and primary care clinics. Philadelphia’s nine Ambulatory Health Service (AHS) Health Centers provide adult immunization to eligible patients with VFAAR Program vaccine.