New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 54 - PHYSICIAN SERVICES
Subchapter 8 - PHARMACEUTICAL SERVICES
Section 10:54-8.5 - New Jersey Vaccines for Children program
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The New Jersey Vaccines for Children (VFC) program provides free vaccines for administration to beneficiaries under 19 years of age who are eligible for New Jersey Medicaid and NJ FamilyCare-Children's Program services. Medicaid and NJ FamilyCare-Children's Program will not provide reimbursement to providers for administering these vaccines exclusive of the VFC program.
(b) The vaccines described in (a)1 above may be provided to any child without health insurance and those children who are American Indian or an Alaskan Native.
(c) Providers shall bill the HCPCs procedure code 90471, 90472, 90473 or 90474 to receive reimbursement for administering vaccines under this program, as appropriate. See 10:58A-4.5(c).
(d) Vaccines administered to beneficiaries 19 years of age and older shall be billed with the appropriate procedure code. See 10:54-9.4.