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Fidelis Care would like to remind providers that COVID-19 vaccinations for children under the age of 19 covered under Child Health Plus and Medicaid Managed Care are available through the federal Vaccine for Children (VFC) program.

There are various options for children to obtain the vaccine through a VFC provider.  These options include:

• Provider’s Office
• Public Health Clinic
• County Health Department
• Local Pharmacy Enrolled in NY Medicaid and VFC

There is no out-of-pocket cost for this vaccination under the VFC program.

COVID-19 vaccine billing guidance for this season is available here.

The NY Medicaid Pharmacists as Immunizers Fact Sheet has information on how to bill for vaccines for over and under 19 years of age and includes a link to the VFC Program.  This information can be found here.

Pharmacies dually enrolled in NY Medicaid and VFC may also immunize children between the ages of 3 to under 19 years of age for COVID-19, and ages of 2 to under 19 years for influenza, in accordance with the federal PREP Act and/or State law.

If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.