Ohio AAP Wins Ohio Medicaid VFC Policy Reversal

(Thursday, April 17, 2014) — Practice of Pediatrics PillarThe Ohio Chapter, American Academy of Pediatrics, has won a reversal of a policy decision by Ohio Medicaid. Ohio Medicaid recently issued a policychange regarding payment for VFC vaccines. Our members were concerned that they were only being paid for one vaccine administration code – even though multiple vaccines were given.

Ohio AAP worked with our members and put pressure on Ohio Medicaid using information gathered from both our members and our national

Advocacy Pillarorganization. Today (Thursday, April 17), Ohio Medicaid contacted Ohio AAP to let us know that they are working on a revised communication to clear up the problem. They confirmed there is NO CAP on an encounter basis.