Search | Board & Staff | Admin
HOME|FOR PROVIDERS|FOR PAYERS|FAQS|FORMS & CHARTS|REFERENCE|ABOUT US|CONTACT US
NEED HELP?
NHVA is administered by:

www.KidsVax.org
Call Us
1-855-KidsVax (543.7829)
Fax Us
1-855-KidsVax (543.7829)
Email Us
Forms
Calendar
Email Alerts Sign Up








Advisory FAQs

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.

Assessments

Show details for A1. What is a universal vaccine purchasing program?A1. What is a universal vaccine purchasing program?
Show details for A2. Are insurers the only ones responsible for paying for vaccines administered to children in New Hampshire?A2. Are insurers the only ones responsible for paying for vaccines administered to children in New Hampshire?
Show details for A3. Is the assessment voluntary?A3. Is the assessment voluntary?
Show details for A4. What is the assessment rate?A4. What is the assessment rate?
Show details for A5. Are entities required to pay assessments for plans that provide only vision, dental, and pharmacy benefitsA5. Are entities required to pay assessments for plans that provide only vision, dental, and pharmacy benefits?
Show details for A6. How are an entity’s assessments determined?A6. How are an entity’s assessments determined?
Show details for A7. When are assessments due?A7. When are assessments due?
Show details for A8. Is the assessment a new fee for employers who have fully insured plans?A8. Is the assessment a new fee for employers who have fully insured plans?
Show details for A9. If my company has zero covered lives, am I still required to report every quarter?A9. If my company has zero covered lives, am I still required to report every quarter?
Show details for A10. Where do I go to complete a quarterly assessment report or to file a zero covered lives report?A10. Where do I go to complete a quarterly assessment report or to file a zero covered lives report?
Show details for A11. Are there any tutorials on the use of this system?A11. Are there any tutorials on the use of this system?
Show details for A12. What if I make a mistake in my report?A12. What if I make a mistake in my report?
Show details for A13. Should I print and send my remittance form with the check?A13. Should I print and send my remittance form with the check?
Show details for A14. Who should the check be made out to, and where should I mail it?A14. Who should the check be made out to, and where should I mail it?
Show details for A15. What if a company pays late?A15. What if a company pays late?
Show details for A16. Are there any other penalties?A16. Are there any other penalties?

Covered Lives

Show details for C1. What are “assessable lives” (often referred to as “covered lives”)?C1. What are “assessable lives” (often referred to as “covered lives”)?
Show details for C2. What is “assessable coverage”?C2. What is “assessable coverage”?
Hide details for C3. What entities are required to report child covered lives?C3. What entities are required to report child covered lives?
All assessable entities are required to report child covered lives. “Assessable entity” means any:

(a) Health maintenance organizations, as defined by RSA 420-B:1, VI;
(b) Third-party administrators, as defined by RSA 402-H:1, I;
(c) Entities providing administrator services and required to register with the insurance commissioner under RSA 402-H:11-a or RSA 402-H:11-b;
(d) Insurance companies licensed pursuant to RSA 401:1, IV; and
(e) Health services corporations, as defined by RSA 420-A:1, III.

An assessable entity with zero child covered lives may file a simple zero covered lives report to eliminate the need for further compliance follow-up. A filing guide for zero covered lives reports is available in the “Resources” section of the “For Payers” page.
Show details for C4. Where an ASO employer group is receiving services from both a TPA and a stop loss carrier, which carrier iC4. 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?
Show details for C5. Can the ASO or TPA and stop loss carrier make an alternative arrangement for payment whereby the reportingC5. 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?

Government Programs

Show details for G1. Does this program impact the federally funded Vaccines for Children (VFC) program?G1. Does this program impact the federally funded Vaccines for Children (VFC) program?
Show details for G2. Are providers still required to screen for VFC eligibility?G2. Are providers still required to screen for VFC eligibility?
Show details for G3. Do providers need to put vaccines for privately insured children in a different refrigerator from vaccinesG3. Do providers need to put vaccines for privately insured children in a different refrigerator from vaccines for VFC eligible children?

Provider Information

Show details for P1. How does my office benefit from this program?P1. How does my office benefit from this program?
Show details for P2. How can my office participate in the program?P2. How can my office participate in the program?
Show details for P3. How does this program affect patients?P3. How does this program affect patients?
Show details for P4. Does the New Hampshire Vaccine Association fund adult vaccines?P4. Does the New Hampshire Vaccine Association fund adult vaccines?
Show details for P5. Should providers continue to bill insurers for the vaccine administration fee?P5. Should providers continue to bill insurers for the vaccine administration fee?

Vaccines

Show details for V1. Does NHVA establish vaccine policy?V1. Does NHVA establish vaccine policy?
Show details for V2. Who sets New Hampshire’s vaccine list?V2. Who sets New Hampshire’s vaccine list?
Show details for V3. Does this program create a vaccine mandate?V3. Does this program create a vaccine mandate?
Show details for V4. What is the Immunization Information System?V4. What is the Immunization Information System?
Show details for V5. How does NHVA impact my taxes?V5. How does NHVA impact my taxes?









NHVA Tax ID: 75-3086725


Copyright 2013 New Hampshire Vaccine Association