DATE: February 13, 2024
TO: Hospitals and Payers
INPATIENT HOSPITAL ASSESSMENT REQUIREMENTS FOR JULY 1, 2024:
In accordance with the Washington Department of Health’s (DOH) Provider Enrollment Agreements for the Childhood Vaccine Program (CVP), the Washington Vaccine Association (WVA) will require hospitals receiving state supplied vaccine at no charge from the WA DOH Childhood Vaccine Program (CVP) to comply with the WVA’s dosage-based assessment (DBA) process no later than July 1, 2024.
All vaccines and immunizations listed on the WVA’s Vaccine Assessment Grid and administered to an insured patient under the age of 19 will require a DBA. Hospitals should refer to the DOH’s Eligibility for Publicly Funded Vaccines: A Guide for Providers to determine how to properly screen patient eligibility prior to DBA submission.
A Hospital Billing Workgroup was established in late 2023, comprised of hospitals, payers, WA DOH staff, and WVA staff. The Workgroup developed the WVA Hospital Inpatient Billing Guide intended for hospitals and payers to ensure their respective billing and adjudication systems can support the DBA process no later than July 1, 2024.
WA DOH CONTACTS FOR PROVIDERS:
www.doh.wa.gov/cvp and WAChildhoodVaccines@doh.wa.gov for Providers.
WVA CONTACTS FOR PAYERS:
compliance@wavaccine.org for Payers.
info@wavaccine.org for Providers.
SUPPORTING DOCUMENTS:
February 12, 2024: Meeting Materials and Meeting Notes
January 16, 2024: Meeting Materials and Meeting Notes
December 18, 2023: Meeting Materials and Meeting Notes
November 28, 2023: Meeting Materials and Meeting Notes