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Enabling Reimbursement to Health Departments for Immunization Services

Kilgus, Captain Duane MPH; Redmon, Ginger Suzanne MA

Journal of Public Health Management & Practice: July/August 2014 - Volume 20 - Issue 4 - p 453–455
doi: 10.1097/PHH.0b013e3182a9dc03
Practice Brief Report

Through its Billables Project, the Centers for Disease Control and Prevention is helping US health departments to implement programs to bill Medicaid, Medicare, and private insurance for vaccine costs and administration fees for insured clients. A 2001 national survey published in the American Journal of Preventive Medicine found that only 31% of US health departments were billing managed care organizations for the immunization services they provided to insured patients. By developing billing systems, health departments have found a new stream of revenue. Funds generated through billing programs can be used for enhanced immunization services for children, adolescents, and adults.

This report describes the Billables Project, launched by the Centers for Disease Control and Prevention to help state and local health departments for immunization services. Revenue generated may enable health departments to expand immunization services they provide to children, adolescents, and adults.

Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.

Correspondence: Ginger Suzanne Redmon, MA, Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS A-19, Atlanta, GA 30333 (vco8@cdc.gov).

The findings and conclusions in this report are those of the authors, and do not necessarily represent the views of the Centers for Disease Control and Prevention or the US Department of Health and Human Services.

The authors declare no conflicts of interest.

© 2014 Lippincott Williams & Wilkins, Inc.