Providers* interested in enrolling in the PA VFC Program must review the VFC Provider Policies below and complete the VFC Program Policies and Guidelines Acknowledgement Form and Provider Agreement.

• Provider Type Definitions

View a PDF of the Pennsylvania Immunization Program Provider Agreement to use as a reference when completing the electronic application form. All applications must be submitted using the electronic form.

*Specialty care providers including, but not limited to, pharmacists and urgent care centers must meet at least one the following need-based criteria to be eligible to apply for the PA VFC Program:

• located in a Health Professional Shortage Area for Primary Care;
• located in a Medically Underserved Area; or
• located in a geographic gap in VFC coverage (no other VFC providers within a 30-minute travel radius).

To determine eligibility prior to applying, specialty care providers can contact the VFC Program Manager, currently Julie Myers, by email julimyers@pa.gov. Please include site name and address.

Please note, pharmacists, urgent care centers, and school-located vaccination clinics must agree to vaccinate all "walk-in" VFC-eligible children, in addition to meeting all general VFC requirements.

In order to complete the VFC Program Policies and Guidelines Acknowledgement Form and Provider Agreement, providers should be prepared with the following:

1. Provider Identification Number (PIN)
2. Medical Director, Primary and Back Up coordinator should read the Pennsylvania Immunization Program Provider Policies found here below.
3. Primary and Back Up coordinators both complete the 2023 You Call the Shots Modules 10 and 16 training modules and save training certificates as PDFs (four in total) to upload with application.
4. Current certificates of calibration for all DDLs including at least one back up DDL saved as PDFs
5. Current patient population broken out into the following groups:
   1. Total patient population under age one (both private and VFC-eligible)

• Number of patients under age one that receive medical assistance
• Number of patients under age one that are uninsured
• Number of patients under age one that are underinsured
• Number of patients under age one who are American Indian or Native Alaskan

2. Total patient population ages one through six (both private and VFC-eligible)Number of patients ages one through six that receive medical assistance

• Number of patients ages one through six that receive medical assistance
• Number of patients ages one through six that are uninsured
• Number of patients ages one through six that are underinsured
• Number of patients ages one through six that are American Indian or Native Alaskan

3. Total patient population ages seven through 18 (both private and VFC-eligible)

• Number of patients ages seven through 18 that receive medical assistance
• Number of patients ages seven through 18 that are uninsured
• Number of patients ages seven through 18 that are underinsured
• Number of patients ages seven through 18 that are American Indian or Native Alaskan

4. Total patient population age 19 and older (both private and VFC-eligible)

• Number of patients age 19 and older that receive medical assistance
• Number of patients age 19 and older that are uninsured
• Number of patients age 19 and older that are underinsured
• Number of patients age 19 and older that are American Indian or Native Alaskan

Please note, the sum of the number of patients in each age group that receive medical assistance, are uninsured, are underinsured, or are American Indian or Alaskan Native should be less than the reported Total patient population in each age group one as these figures also includes the number of private patients.

Provider Agreement Frequently Asked Questions (FAQs)

• Division of Immunizations - Federal Advisory Committee on Immunization Practices (ACIP)
  
• Division of Immunizations - Fraud and Abuse
  
• Division of Immunizations - VFC Provider Enrollment
  
• Division of Immunizations - Vaccine Administration and Documentation
  
• Division of Immunizations - VFC Eligibility and Billing
  
• Division of Immunizations - 317 Eligibility and Billing
• Division of Immunizations - Vaccine Storage and Handling
  
  

You Call the Shots-Module Sixteen-Vaccines for Children Program – Primary and back-up VFC vaccine coordinators: new hires and prior to annual reenrollment each year

You Call the Shots-Module Ten-Storage and Handling – Primary and back-up VFC vaccine coordinators: new hires and prior to annual reenrollment each year

The Training and Continuing Education Online (TCEO) homepage allows users to create and access accounts. Users must have an active account to take training courses.

AstraZeneca
1-800-236-9933

Dynavax
1-877-848-5100

GlaxoSmithKline
1-800-245-1040

Grifols
1-888-474-3657

Merck
1-800-444-2080
 
Pfizer
1-800-879-3477
 
Sanofi
1-800-981-2491
 
Seqirus
1-855-358-8966

Questions?

Please contact the VFC Program at 1-888-646-6864 or RA-pavfc@pa.gov