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Local Health Department Immunization Billing Questionnaire Results

Local Health Department Immunization Billing Questionnaire Results. Sunee N. Mickle Kansas Health Institute October 12, 2006. Background. LHDs are a major part of immunization delivery network Are LHDs offering immunization services to all children? Who is paying for these immunizations?.

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Local Health Department Immunization Billing Questionnaire Results

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  1. Local Health Department Immunization Billing Questionnaire Results Sunee N. Mickle Kansas Health Institute October 12, 2006

  2. Background • LHDs are a major part of immunization delivery network • Are LHDs offering immunization services to all children? • Who is paying for these immunizations?

  3. Survey Goals • Survey conducted 9/06 – 10/06 • Understand eligibility in LHDs • Are all children eligible for immunization services regardless of insurance coverage? • Learn about billing practices • Sliding fee scale • Billing insurance companies

  4. Survey Design and Participation • 6 questions • 105 county local health departments • 63 counties received survey in September • 42 counties received survey in October • 89 counties (85%) responded as of 10/9/06

  5. Proportion of LHDs That Immunize All vs Some Children

  6. LHDs Providing Immunization Services By Insurance Status N respondents = 89

  7. Number of LHDs Providing Sliding Fee

  8. Billing Insurance Companies

  9. Companies Billed for Services N respondents = 89

  10. Billing Private Insurance Companies for Immunization Services N respondents that immunize children with private insurance = 77

  11. Key Findings • All LHDs offer immunizations for Healthwave and VFC children • The majority (74%) of LHDs immunize children regardless of insurance coverage • Many (but not all) LHDs bill insurance companies • Those that do not may use public vaccine or bill clients for immunization services

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