Immunization Provider Vaccine Agreement Sample Contracts

IMMUNIZATION PROVIDER VACCINE AGREEMENT
Immunization Provider Vaccine Agreement • September 24th, 2015

Individuals or entities that have been placed in non-payment status under Medicare, Medicaid and other Federal health care programs, including the VFC program by the U.S. Department of Health and Human Services, Office of Inspector General (OIG) or through Executive Order by another Executive department (e.g. Department of Transportation, Office of Personnel Management, Department of Justice, Department of Labor, Department of Defense) are not allowed to enroll or participate in the VFC program or receive VFC vaccine. VFC providers are responsible for checking the Office of the Inspector General (OIG) list of excluded Individuals/Entities on the OIG website (www.oig.hhs.gov) prior to hiring or contracting with any individuals or entities. VFC enrolled provider sites who are found to have a person employed that is on the OIG excluded provider list shall be terminated from the VFC program.

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