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HomeMy WebLinkAboutC13-099 Mountain Family Health Center MOUMEMORANDUM OF UNDERSTANDING
BETWEEN
Mountain Family Health Center
AND
Community Health Services Inc.,
Eagle County Public Health and Garfield County Public Health
AND
Colorado Department of Public Health and Environment
FOR
Deputizing and Oversight of Public Health Departments to Provide
Vaccines for Children (VFC) Purchased Vaccine to Entitled Underinsured Children
The Centers for Disease Control and Prevention (CDC), the Health Resources and
Services Administration (HRSA), the Centers for Medicare & Medicaid Services (CMS) and the
Department of Health and Human Services have issued guidance regarding deputization by
Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) of other VFC
providers in their state to authorize those providers to immunize the federally vaccine -eligible
children category of underinsured children.
Background:
In many states, the capacity of FQHC/RHCs to serve underinsured children is not sufficient to
meet the need of underinsured children entitled to VFC vaccine. Until underinsurance among
children is eliminated by full implementation of the Patient Protection and Affordable Care Act
(ACA), extending VFC authority to other VFC providers serves as a bridging mechanism by which
underinsured children will have increased access to VFC vaccine at additional provider sites.
Ger o99
In conformance with VFC Deputization Guidance dated January 1, 2013, and as may be revised,
The undersigned - Mountain Family Health Center - hereby confer authority to (i.e.,
deputize) the VFC providers listed in Appendix A to serve as their agents in immunizing
federally vaccine -eligible children who are underinsured as defined under subsection
1928(b)(2)(A)(iii) of the Social Security Act, with the understanding that —
a. such other VFC providers have been Identified by the Colorado Department
of Public Health and Environment and approved by the CDC for such
designation;
b. the Colorado Department of Public Health and Environment and CDC retain
their respective responsibilities for oversight of all VFC operations by such
deputized VFC providers, including oversight of their roles in immunizing
underinsured children;
c. federally purchased vaccine for use by deputized VFC providers in
immunizing underinsured children is provided directly by CDC's vaccine
distribution system to the deputized providers;
d. the Colorado Department of Public Health and Environment and/or CDC may
remove any deputized VFC provider from Appendix A in their roles of VFC
program oversight in which case such provider shall lose deputization status;
e. each undersigned FQHC/RHC must comply with the requirements of such
VFC Deputization Guidance;
f. any undersigned FQHC/RHC may withdraw from this MOU with 90 days
written notice to the undersigned Colorado Department of Public Health and
Environment official; and
g. each deputizing FQHC/RHC retains all of its authorities as a VFC provider,
Including the ability to immunize underinsured children.
h. Mountain Family Health Center does not assume any liability for Community
Health Services Inc., Eagle County Public Health, or Garfield County Public
Health's acts and omissions with its officers, employees, and agents while
acting within the scope of their employment through its designation of
Community Health Services Inc., Eagle County Public Health, or Garfield
County Public Health to use VFC vaccine for immunizations of underinsured
children.
2. Each deputized VFC provider listed in Appendix A shall comply with the requirements In
such VFC Deputization Guidance, this deputization MOU, and with all other applicable
VFC program requirements, including —
a. agreement to vaccinate "walk-in" VFC-eligible underinsured children as defined
under subsection 1928(b)(2)(A)(Ili) of the Social Security Act;
b. screening for VFC eligibility, including for underinsured status, at every visit by
any child less than 19 years of age;
c. reporting to the VFC awardee, in manner and time as decided by the awardee,
all requirements set forth in the guidance; and
d. compliance with any additional VFC requirements as the Colorado Department
of Public Health and Environment or CDC may from time to time Impose.
Execution In MnLpMrts and bv&idM%. This agreement maybe executed in counterparts or
with sloatuies obtained via facsimiletransmisslan, each of which shall have full force and
effect upon execution by all parties to this agreement.
We, thi, undersigned, have read and agree to the terms and conditions set forth In this MOU
and will,retaina copy of this MOU.
By.
Date: lik? ?-t L -4 (3
By: guni a andp
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On b lin i, If of the VFC providers lined In Appendix A for those under this official's
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I herwackndW*dp the reqmnsibilitles as delineated above:
Date:
Department of Public Health
Public Health Program's]:
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farDisuse Control and Prevention, Immunization Services Division
14
APPENDIX A
List of Deputized VFC Providers
Community Health Services Inc.
Eagle County Public Health
Garfield County Public Health