In exchange for state-funded vaccines, enrolled providers partner with the SGF Program to ensure that state requirements are met, help achieve program goals, and protect the integrity of the program that supplies no-cost vaccines for eligible recipients.
Provider Agreements
Local health departments manage relationships with external partners including provider agreement and addendum.
Key Compliance Areas
Billing
California Health and Safety Code Section 120392.3 states that no more than $2.00 can be charged for administration of state-purchased influenza vaccine; however, Section 54985 of the California Business Professions Code gives a County Board of Supervisors the authority to increase such fees “…in the amount reasonably necessary to recover the cost of providing any product or service.”
Providers are encouraged to bill Medicare Part B for the cost of influenza vaccine and its administration to beneficiaries 65 years and older.
Ordering
Providers submit vaccine order requests in myCAvax for local health department approval. Allow up to 2 weeks after order submission for review, processing, and shipment of the order. See SGF Ordering & Distribution Calendars.
Summary
Requirement
Description
Immunization registry
Enroll in a regional California immunization registry (CAIR or Healthy Futures/RIDE) per AB 1797
Recertification
Reaffirm annually that requirements will be met, key practice information is up to date, and agreements are signed
Patient Visit
VISs
Distribute current Vaccine Information Statements (or Immunization Information Statements) before administering vaccines
Vaccine administration
Comply with CDPH schedules & recommendations, including doses, intervals, catch-up doses, medical indications, and contraindications
Billing
Do not charge for vaccine
Report doses used
Report doses administered to the regional immunization registry
Vaccine Management
Storage equipment
Ensure vaccine storage units and digital data loggers meet VFC requirements
Storage & handling
Always store vaccines at manufacturer-recommended temperatures from receiving through administration
Temperature monitoring
Monitor and record vaccine storage unit temperatures twice daily; respond immediately to and report temperature excursions
Ordering vaccines
Order vaccines as needed to serve patient populations
Inventory reporting
Report nonviable doses, shipment incidents, and vaccine transfers in myCAvax
Vaccine management plan
Comply with protocols for routine and emergency vaccine management to protect vaccine supply; prepare for emergencies
Provider Compliance
Record retention
Maintain all SGF-related documentation for three years
Fraud & abuse
Follow program requirements in a manner to avoid fraud & abuse
Accountability
Retain documentation for doses received through administration; replace non-viable vaccines due to negligence on a dose-for-dose basis
