Your office is the right place to give flu shots to your patients, regardless if they are visiting for another reason. When you meet criteria for administering influenza vaccines to SCFHP patients aged 19 or older, you may be eligible for Proposition 56 value-based payment from SCFHP. Providers eligible to receive the below-described payments are contracted with SCFHP, have a Type 1 NPI, are not administering from a Federally Qualified Health Center (FQHC), and the patient is not covered under Medicare Part B.
- Supplemental payment = $25
- At risk add-on payment = $37.50
The at risk add-on payment is expressly for individuals who are one or more of homeless, diagnosed with substance abuse disorder, or diagnosed with severe mental illness. A lookback is performed in December at which point the first provider administering the vaccination within the measurement period will be paid accordingly. Learn more about Proposition 56 payments and related requirements in SCFHP’s Proposition 56 training material.
If your office is unable to provide the flu vaccine, SCFHP patients can get one at no cost at any of these pharmacies in Santa Clara County:
- CVS Pharmacy
- Lucky Pharmacy
- Rite Aid
- Safeway Pharmacy
- Wal-Mart Pharmacy
- Valley Health Center Pharmacies
Use this map to find a participating location near you. Call before visiting.
Questions? Contact ProviderServices@scfhp.com.