Common use of Childhood immunizations Clause in Contracts

Childhood immunizations. The MCO must obtain vaccines from the State Bureau for Public Health’s Immunization Program. Any time an MCO member seeks immunizations from a governmental public health entity, the MCO must pay for such services at current Medicaid fee-for-service rates for administration costs only. For medically necessary situations, non- Vaccines For Children (VFC) vaccines administered by governmental public health entities to MCO clients, the MCO must reimburse for the cost of the vaccines. MCOs should encourage providers to refer their patients to these programs. Environmental lead assessments for MCO children with elevated blood levels will be reimbursed directly by BMS. The MCO must work with the local health departments to coordinate the provision of the above services and to avoid duplication of services. The MCO is encouraged, but not required, to contract with local health departments to provide the core services listed above as well as other services.

Childhood immunizations. The MCO must obtain vaccines from the State Bureau for Public Health’s Immunization Program. Any time an MCO member seeks immunizations from a governmental public health entity, the MCO must shall pay for such services at current Medicaid fee-for-service rates for administration costs only. For medically necessary situations, non- Vaccines For Children (VFC) vaccines administered by governmental public health entities to MCO clients, the MCO must reimburse for the cost of the vaccines. MCOs should encourage providers to refer their patients to these programs. Environmental lead assessments for MCO children with elevated blood levels will be reimbursed directly by BMS. The MCO must work with the local health departments to coordinate the provision of the above services and to avoid duplication of services. The MCO is encouraged, but not required, to contract with local health departments to provide the core services listed above as well as other services.

Childhood immunizations. The MCO must obtain vaccines from the State Bureau for Public Health’s Immunization Program. Any time an MCO member seeks immunizations from a governmental public health entity, the MCO must pay for such services at current Medicaid fee-for-service rates for administration costs only. For medically necessary Medically Necessary situations, non- non-Vaccines For Children (VFC) vaccines administered by governmental public health entities to MCO clients, the MCO must reimburse for the cost of the vaccines. MCOs should encourage providers to refer their patients to these programs. Environmental lead assessments for MCO children with elevated blood levels will be reimbursed directly by BMS. The MCO must work with the local health departments to coordinate the provision of the above services and to avoid duplication of services. The Local Health Departments (LHD) providing Medicaid services must have the right to participate in the MCO is encouragednetwork, but not required, to so long as such provider comply with the terms and conditions of the MCO provider contract with local health departments to provide the core services listed above as well as other servicesand provider qualification and credentialing process.

Childhood immunizations. The MCO must obtain vaccines from the State Bureau for Public Health’s Immunization Program. Any time an MCO member seeks immunizations from a governmental public health entity, the MCO must pay for such services at current Medicaid fee-for-service rates for administration costs only. For medically necessary situations, non- non-Vaccines For Children (VFC) vaccines administered by governmental public health entities to MCO clients, the MCO must reimburse for the cost of the vaccines. MCOs should encourage providers to refer their patients to these programs. Environmental lead assessments for MCO children with elevated blood levels will be reimbursed directly by BMS. The MCO must work with the local health departments to coordinate the provision of the above services and to avoid duplication of services. The MCO is encouraged, but not required, to contract with local health departments to provide the core services listed above as well as other services.