The Vaccine Assessment Grid (“Grid”) is the table of the dosage-based assessment amounts for vaccines administered by providers and covered by the state’s Childhood Vaccine Program. The current Grid is in effect between July 1, 2022 and June 30, 2023.
** PLEASE NOTE ** Effective January 1, 2023, two additional vaccines – Priorix (MMR) and VaxneuvanceTM (PCV15) will be found on the Grid. The PDF and XLS versions have been updated as of November 4, 2022 with these new vaccines.
Download the updated Grid: PDF version.
Download the updated Grid: Excel version.
Additionally, downloadable versions of the Payer Bulletin and the Provider Bulletin are available.
To reference our FAQ on Grid Tips, click here.
If you would like to be notified of future Vaccine Assessment Grid changes, please sign up for our mailing list at https://wavaccine.org/contact/.
All prior Grids are located on this page: View Assessment Grid History