SGF Requirements
In exchange for state-funded vaccines, enrolled providers partner with the SGF Program to ensure that state requirements are met, help achieve program goals, and protect the integrity of the program that supplies no-cost vaccines for eligible recipients.
Provider Agreements
Local health departments manage relationships with external partners including provider agreement and addendum.
Key Compliance Areas
Billing
California Health and Safety Code Section 120392.3 states that no more than $2.00 can be charged for administration of state-purchased influenza vaccine; however, Section 54985 of the California Business Professions Code gives a County Board of Supervisors the authority to increase such fees “…in the amount reasonably necessary to recover the cost of providing any product or service.”
Providers are encouraged to bill Medicare Part B for the cost of influenza vaccine and its administration to beneficiaries 65 years and older.
Ordering
Providers submit vaccine order requests in myCAvax for local health department approval. Allow up to 2 weeks after order submission for review, processing, and shipment of the order. See SGF Ordering & Distribution Calendars.
Summary
| Participation | Requirements |
|---|---|
| Immunization registry | Enroll in a regional California immunization registry (CAIR or Healthy Futures/RIDE) per AB 1797 |
| Recertification | Reaffirm annually that requirements will be met, key practice information is up to date, and agreements are signed |
| Patient Visit | Requirements |
|---|---|
| VISs | Distribute current Vaccine Information Statements (or Immunization Information Statements) before administering vaccines |
| Vaccine administration | Comply with CDPH schedules & recommendations, including doses, intervals, catch-up doses, medical indications, and contraindications |
| Billing | Do not charge for vaccine |
| Report doses used | Report doses administered to the regional immunization registry |
| Vaccine Management | Requirements |
|---|---|
| Storage equipment | Ensure vaccine storage units and digital data loggers meet VFC requirements |
| Storage & handling | Always store vaccines at manufacturer-recommended temperatures from receiving through administration |
| Temperature monitoring | Monitor and record vaccine storage unit temperatures twice daily; respond immediately to and report temperature excursions |
| Ordering vaccines | Order vaccines as needed to serve patient populations |
| Inventory reporting | Report nonviable doses, shipment incidents, and vaccine transfers in myCAvax |
| Vaccine management plan | Comply with protocols for routine and emergency vaccine management to protect vaccine supply; prepare for emergencies |
| Provider Compliance | Requirements |
|---|---|
| Record retention | Maintain all SGF-related documentation for three years |
| Fraud & abuse | Follow program requirements in a manner to avoid fraud & abuse |
| Accountability | Retain documentation for doses received through administration; replace non-viable vaccines due to negligence on a dose-for-dose basis |