Immunization Information for Providers

The Rhode Island State-Supplied Adult and Childhood Vaccine programs provide vaccine to healthcare providers to immunize people of all ages. A table with details about these vaccines, including their age indications, is available for healthcare providers.

Additionally, a series of immunization and testing requirements are in place in Rhode Island to ensure that healthcare providers are properly immunized. These requirements protect healthcare providers and their patients by limiting the spread of disease.

Program Enrollment

Enrollment is now open for Immunize For Life. Healthcare providers can enroll once to order vaccine for both pediatric and adult patients. Enrollment must be completed online and healthcare providers must agree to the terms and conditions of the program.

Immunization Resource Manual

Immunization schedules, vaccine information statements, forms, and policies documents, among other important documents, are in the Immunization Resource Manual.

Eligibility for State-Supplied Vaccine

Influenza vaccine

State-supplied influenza vaccine can be provided to all children (younger than 19 years of age). It can also be provided to all adult Rhode Island residents (both insured and uninsured).

Non-influenza vaccine

All non-influenza vaccine can be provided to all children (younger than 19 years of age). Adults in the following categories are also eligible for non-influenza State-Supplied Vaccine:

  • Insured Rhode Island residents, 19 to 26 years of age.
  • Insured Rhode Island residents at high risk, regardless of age.
  • Non-Rhode Island residents who are covered by a Rhode Island employer’s health plan and are 19 to 26 years of age.
  • Non-Rhode Island residents who are covered by a Rhode Island employer’s health plan and are at high risk, regardless of age.

Individuals who are not in one of these categories can be vaccinated as follows:

  • Patient type: Uninsured, 19 years of age and older, able to pay
    How to vaccinate:Privately purchased vaccine, St. Joseph’s Health Services, and pharmacy
  • Patient type:Uninsured, 19 years of age and older, unable to pay
    How to vaccinate:Patient Assistance Program sites and St. Joseph’s Health Services
  • Patient type: Adults who are insured, but not through a RI employer
    How to vaccinate:Privately purchased vaccine or at a pharmacy
  • Patient type:Adults covered by Medicare Fee For Service
    How to vaccinate:SSV but coverage & reimbursement limited (No Tdap thru SSV for Medicare Part D)

Flu Vaccine Reporting

All Rhode Island healthcare providers who are vaccinating patients against the flu through the State-Supplied Vaccine program must make vaccine administration and inventory reports every week. (more) To be eligible for additional flu vaccine deliveries for the next reporting period, a practice must submit its report by 11:59 p.m. each Monday.

Flu vaccine for Medicare-Fee-For-Service patients

The Centers for Medicare and Medicaid Services no longer reimburse the Rhode Island Department of Health for influenza vaccine administered to Medicare Fee-For-Service patients. Healthcare providers can either:

  • Order influenza vaccine for their Medicare Fee-For-Service patients privately, or
  • Order and reimburse the Department for the purchase of vaccine.

Medicare Fee-For-Service patients are patients with straight Medicare or Medicare Part B. This policy does not apply to individuals with a Medicare Advantage plan (like an HMO or PPO). For more information about ordering and prices, contact Mark Francesconi.

Vaccine Administration

Providers who participate in the Immunize for Life Program must adhere to certain requirements for ordering, storing, reporting on, and managing vaccines. Before administering any vaccine, the provider must give the current Vaccine Information Statement to the patient or his/her parents or guardians. This information must be documented on the patient's medical record, and in KIDSNET for children, at the time of vaccination.

In addition to regular standards and protocols, healthcare providers must create and maintain a vaccine disaster recovery plan to minimize the loss of vaccine during power outages or other adverse events.

Vaccine Reimbursement

Providers who participate in the Department of Health's Immunize for Life Program may submit claims for reimbursement according to individual health plan guidelines. (more)