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Vaccine Administration Fee
Effective January 1, 2020, providers who choose to bill patients paying out of pocket (i.e.: un-insured and under-insured children) for a vaccine administration fee may issue only a single bill within 90 days of the date of service. The vaccine administration fee may not exceed the fee cap of $23.44 per vaccine dose established by the Centers for Medicare and Medicaid Services (CMS). Providers must waive vaccine administration fees if the patient or parent is unable to pay. Unpaid administration fees may not be sent to collections, and the provider may not refuse to vaccinate a child who has unpaid vaccine administration fees.
This policy does not apply to vaccine administration fees billed to Medicaid, managed care, and other health insurance plans. Additionally, unpaid bills related to office visit fees or other fees (e.g., labs) may continue to be collected according to provider billing policies. For more information or questions please contact us at wachildhoodvaccines@doh.wa.gov.
Off-Site Vaccination Clinic Storage Equipment
All providers conducting off-site vaccination clinics will be required to use a portable storage unit or qualified container and packout beginning January 1, 2020. Hard-sided coolers will no longer be approved for use during off-site vaccination clinics after January 1, 2020, but may still be used for vaccine transfers. Please see the table below for guidance. For more information or questions please contact us at wachildhoodvaccines@doh.wa.gov.
 * Qualified Container and Packout: A type of container and supplies specifically designed for use when packing vaccines for transport. They are “qualified” through laboratory testing under controlled conditions to ensure they achieve and maintain desired temperatures for a set amount of time.
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