H1N1 Vaccine (Swine Flu)
Medical Mutual and its Family of Companies will be covering the administration of the H1N1 vaccine
for all Covered Persons unless otherwise directed by the plan sponsor. The company will reimburse
the administration of the vaccine, with no out-of-pocket expense when services are rendered by a network
provider. The codes to be used for billing the administration of the H1N1 vaccine are 90470 and G9141.
The federal government will be supplying the vaccine to healthcare providers at no charge.
Covered Persons cannot be billed for the vaccine.
Triaging Children with Influenza-Like Illness
The American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) have released
an algorithm to assist practitioners in providing guidance to parents or caregivers of children with
influenza-like illness, titled the
2009-2010 Influenza Season Triage Algorithm for Children (≤ 18 years) With Influenza-Like Illness.
Hib Booster Vaccine Available for “Catch-up” Vaccination
On August 19, 2009, the Food and Drug Administration (FDA) licensed Hiberix (GlaxoSmithKline Biologicals),
a Haemophilus influenzae type b (Hib) conjugate vaccine for use as the booster (final) dose for children
ages 15 months through 4 years who have received a primary Hib vaccination series. The Advisory Committee
on Immunization Practices (ACIP) recommends Hib booster vaccination for children 12 through 15 months old.
However, because of the recent shortage of Hib vaccines, many children were deferred the booster dose and now
require catch-up vaccination.
Due to the shortage of Haemophilus influenzae type b (Hib), the booster (final) dose was deferred in some
cases. Hib vaccine is now more available and it is recommended that providers contact those patients in need
of a Hib vaccine catch-up immunization. ¹ Details about the Hib vaccination schedule are available at
http://www.cdc.gov/vaccines/recs/schedules/default.htm#child.
¹ CDC. Licensure of a Haemophilus influenzae Type b (Hib) Vaccine (Hiberix) and Updated Recommendations for
Use of Hib Vaccine. MMWR 2009; 58:1008-1009.
Immunization Registries- Links to Better Health
Numerous web-based computerized information systems have been developed to link your pediatric
or adult practice to a centralized registry. Immunization registries can help save time, reduce paperwork
and avoid missed opportunities to immunize. To find a registry in your area, visit the American Immunization
Registry Association (AIRA) website at www.immregistries.org.
Impact SIIS – Statewide Immunization Information System
A web-based application has been developed by the Ohio Department of Health to link your
pediatric or adult practice to a statewide, centralized registry. Impact SIIS can help
save time, reduce paperwork and avoid missed opportunities to immunize. Visit
www.impactsiis.org for details and to enroll.
South Carolina ‘CARES’
The South Carolina Immunization Registry is part of the ‘Client Automated and Reporting System’
(CARES), a component of the Department of Health and Environmental Control (DHEC). This web-based
application has been developed to link your pediatric or adult practice to a centralized registry.
The registry can help save time, reduce paperwork and avoid missed opportunities to immunize. DHEC
provides training and support. For more information, contact the DHEC Immunization Division at 1-800-277-4687.
Provider Resources for Adult Immunizations
Last updated 11/10/2009