Vaccines For Children (VFC) Program


Vaccines for Children


WHAT IS VFC?



2015 Vaccines For Children Provider Enrollment Information:

Please contact 855-896-7337 or vaccine@kdheks.gov  if you have questions regarding the VFC program.

2015 VACCINE POLICY CHANGES

 

WHAT IS THE UNIVERSAL HEPB PROGRAM?


Please contact 855-896-7337 or vaccine@kdheks.gov  if you have questions regarding the HEPB program.

2015 VFC Provider Enrollment

What to expect

The system will guide you through several steps to collect information necessary to complete enrollment. You may logout at any time after completing a step. Be sure to complete the step you are on before logging out to save the information you entered. When you log back in, the system will prompt you to continue where you left off.

Information Collected during Enrollment

Clinic’s Physical Location

Shipping Address

Medical Director (or other prescribing provider acting as signatory on the VFC Provider Agreement)

VFC Vaccine Coordinators – You will need to provide the following information about these individuals:

  1. Primary Vaccine Coordinator
    1. Name (Last, First)
    2. Contact Information: Phone and email
    3. Declare if they have completed 2015 annual online VFC trainings provided by CDC
      1. Vaccines For Children (VFC)-2015
      2. Vaccine Storage and Handling-2015
  2. Backup Vaccine Coordinator
    1. Name (Last, First)
    2. Contact Information: Phone and email
    3. Declare if they have completed 2015 annual online VFC trainings provided by CDC
      1. Vaccines For Children (VFC)-2015
      2. Vaccine Storage and Handling-2015
  3. Vaccine Profile – Population Served by this clinic
  4. Source of data used to complete the Vaccine Profile
  5. Provide the following information for all prescribing providers in the clinic:
    1. Name (Last. First)
    2. Title
    3. Specialty
    4. Medical License
    5. Medicaid or National Provider Identification Number
    6. Tax ID (EIN – this is optional)

The information you enter will automatically populated the 2015 VFC Provider Agreement for your clinic. After all information is entered, the prepopulated agreement will be available for download.

To Complete Enrollment

  1. Download the VFC Provider Agreement
  2. Have the signatory you indicated sign the agreement.
  3. Submit the signed agreement to the VFC Program for approval.
  4. Submit training certificates for all required CDC trainings for both the Primary and Backup VFC Vaccine Coordinators.

Available Submission Methods

  1. Electronic Submission - Recommended

    You may submit the signed VFC Provider Agreement and Training Certificates by uploading electronic copies of each. This is recommended and may reduce the time to approve your annual enrollment.
  2. Fax – Fax the signed VFC Provider Agreement and Training Certificates to . . .

    855-VX-ORDER (855-8967337)
    Fax: 785-296-6510
  3. Mail – Mail signed VFC Provider Agreement and Training Certificates to the below address

    Kansas Immunization Program (KIP)
    1000 SW JACKSON
    STE 210
    TOPEKA, KS 66612-1274