VFC-Plus Illinois

Illinois Department of Public Health

About VFC-Plus | VFC-Plus Illinois | VFC -Plus Chicago

VFC-Plus Illinois Forms

The Vaccines for Children (VFC) program is a federally funded, state administered program that provides free vaccines to eligible children ages 18 and younger. Vaccines are provided free at no cost to the provider or the patient, although providers may charge an administration fee.

There are two federal VFC programs administered in Illinois: Chicago VFC-Plus (for providers in the City of Chicago) and Illinois VFC-Plus (for providers outside the City of Chicago).

To view the VFC forms for providers in Illinois (outside of Chicago) please use the forms below.

New Immunization Administration Code Recommendations in the VFC Program

On January 1, 2011 new immunization administration CPT codes 90460 and 90461 became effective, replacing codes 90465-90468 and reflecting the additional work associated with the provision of multiple-component vaccines:

90460 – Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component

+90461 – Each additional vaccine/toxoid component [...more]

VFC-Plus Illinois 2012 Enrollment Packet

The Illinois Vaccines For Children Program (VFC) requires annual VFC Provider re-enrollment. The purpose of this re-enrollment process is to gather updated information, including changes in provider’s vaccine usage volume, clinic contact information and other changes that may have occurred since the previous year.

Due to this and the increasing size of VFC vaccine orders, we must update your vaccine usage. The updated information about your practice will allow the Illinois VFC Program to properly project vaccine needs for future purchases.[...more]

VFC-Plus Illinois Forms

VFC Vaccine Availability Form (10.11)

VFC-Plus Illinois Enrollment form (10.11)

VFC-Plus Illinois Influenza Ordering Form (7.11)

VFC-Plus Illinois Patient Eligibility Screening Record (10.10)

VFC-Plus Illinois Provider Enrollment Profile Form (10.11)

VFC-Plus Illinois Temperature Log (10.10)

VFC-Plus Illinois Vaccine Order, Inventory, Accountability Form (10.11)

VFC-Plus Varicella Questionnaire (10.10)

VFC-Plus Illinois Vaccine Transfer Order Form (11.10)

VFC-Plus Illinois Waste To Be Returned (4.18)

VFC-Plus Illinois Waste Loss and Replacement aka “Waste Protocol” (11.11)

For more information about VFC-Plus Illinois contact:

Mark Amerson
Illinois Department of Public Health
525 W. Jefferson St.
Springfield, IL
217/785-1455
Mark.Amerson@illinois.gov

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ICAAP Immunization Initiatives focus on immunization education for providers, policy, and advocacy developed in collaboration with the Chicago Department of Public Health and the Illinois Department of Public Health.