The New Hampshire Vaccine Association (“NHVA”) is a not-for-profit voluntary corporation that works to improve access to childhood vaccines while lowering health care costs. NHVA funds New Hampshire’s universal vaccine purchasing program through a cooperative approach involving insurers, health care providers, and the New Hampshire Departments of Insurance and Health & Human Services. NHVA does not set vaccine policy. It collects and administers vaccine funding in New Hampshire so that the state can purchase vaccines for all children, regardless of income or insurance coverage.
NHVA was formed pursuant to New Hampshire Revised Statutes Annotated (“RSA”) Chapter 126-Q. This law became effective June 17, 2002, and NHVA was incorporated in November 2002. In 2013, the New Hampshire legislature revised RSA 126-Q to ensure that assessments are shared equitably among payers. Past and current versions of NHVA’s governing statute are available under the “Reference” tab.
Please note that these Advisory FAQs may be subject to revision on review by the Department of Insurance.
A1. What is a universal vaccine purchasing program?
A universal vaccine purchasing program allows a state to purchase vaccines for all children, regardless of insurance coverage or income. New Hampshire’s program was created to provide equitable load sharing between public and private resources to pay for childhood vaccines. By purchasing vaccines in bulk off the federal contract, New Hampshire qualifies for the largest discount available from the pharmaceutical industry. This produces millions of dollars in health care costs savings, and it eliminates administrative burdens on providers.
The program also streamlines vaccine delivery in the state. Since NHVA’s inception, it has been an important support for the New Hampshire Immunization Program’s work to consistently maintain one of the highest rates of childhood immunization in the country. The Immunization Program uses NHVA funds to purchase vaccines for privately insured children, and it uses a combination of federal and state funds to purchase vaccines for publicly insured children. This makes it possible for all New Hampshire children to have access to all vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) free of charge.
A2. Are insurers the only ones responsible for paying for vaccines administered to children in New Hampshire?
A3. Is the assessment voluntary?
A4. What is the assessment rate?
A5. Are entities required to pay assessments for plans that provide only vision, dental, and pharmacy benefits?
A6. How are an entity’s assessments determined?
A7. When are assessments due?
A8. Is the assessment a new fee for employers who have fully insured plans?
A9. If my company has zero covered lives, am I still required to report every quarter?
A10. Where do I go to complete a quarterly assessment report or to file a zero covered lives report?
A11. Are there any tutorials on the use of this system?
A12. What if I make a mistake in my report?
A13. Should I print and send my remittance form with the check?
A14. Who should the check be made out to, and where should I mail it?
A15. What if a company pays late?
A16. Are there any other penalties?
C1. What are “assessable lives” (often referred to as “covered lives”)?
C2. What is “assessable coverage”?
C3. What entities are required to report child covered lives?
C4. Where an ASO employer group is receiving services from both a TPA and a stop loss carrier, which carrier is required to report and pay vaccine assessments on behalf of the ASO employer group?
C5. Can the ASO or TPA and stop loss carrier make an alternative arrangement for payment whereby the reporting and payment burden is continued by the stop loss carrier as had been the case before the 2013 amendments to RSA 126-Q?
G1. Does this program impact the federally funded Vaccines for Children (VFC) program?
G2. Are providers still required to screen for VFC eligibility?
G3. Do providers need to put vaccines for privately insured children in a different refrigerator from vaccines for VFC eligible children?
P1. How does my office benefit from this program?
P2. How can my office participate in the program?
P3. How does this program affect patients?
P4. Does the New Hampshire Vaccine Association fund adult vaccines?
P5. Should providers continue to bill insurers for the vaccine administration fee?
V1. Does NHVA establish vaccine policy?
V2. Who sets New Hampshire’s vaccine list?
V3. Does this program create a vaccine mandate?
V4. What is the Immunization Information System?
V5. How does NHVA impact my taxes?