Obtaining Beyfortus through the Vaccines for Children Program

Vaccination remains a key strategy to mitigate the impact of adverse health outcomes on patients and hospital operations during the 2024-2025 respiratory season. The MHA urges all birthing hospitals to become Vaccines for Children (VFC) specialty providers to offer Beyfortus and expand access to eligible patients ahead of the upcoming respiratory season.

Beyfortus was approved by the FDA in July 2023 for preventing RSV lower respiratory tract disease in infants. Hospitals can acquire Beyfortus through direct/private purchase or through the VFC program. However, doses obtained through the VFC program can only be administered to patients who are eligible for the VFC program.

Birthing hospitals must become a VFC enrolled provider to order Beyfortus through the program. While there are three different types of VFC participation, only two allow for administration of Beyfortus:

  1. VFC Provider (providing all ACIP recommended vaccines)
  2. VFC Specialty Provider (providing Hepatitis B & Beyfortus only)

The Michigan Department of Health and Human Services (MDHHS) and the Centers for Disease Control are encouraging all birthing hospitals to become a VFC Specialty Provider to protect Michigan infants against Hepatitis B and RSV. The process to become a VFC Specialty Provider differs slightly, depending on if a hospital is participating with the VFC as a Universal Hepatitis B Provider or not at all.

The steps in the graphic below outline how birthing hospitals can become a VFC Specialty Provider:

1 – MDHHS has created a Beyfortus Eligibility Tool to help birthing facilities with this process. Use of the tool is optional, however if it is used, it should be noted in the Eligibility Screening Plan in step two.
2 – Facilities should complete the Eligibility Screening Plan and submit it to the local health department.

Members with questions may contact Kelsey Ostergren at the MHA. Questions related to VFC program enrollment can be directed to the MDHHS Division of Immunizations.

MHA Monday Report Feb. 19, 2024

MHA Monday Report

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The Keckley Report

Two Lawsuits. Two Issues. One Clear Message.Paul Keckley

“Last Monday, two lawsuits were filed that strike at a fundamental challenge facing the U.S. health system …

The issue is this: is a health system’s liable when its consolidation activities result in higher prices for services provided communities and employers in communities where they operate? Is there a direct causal relationship between a system’s consolidation activities and their prices, and how should alleged harm be measured and remedied? …

Healthcare organizations and their trade groups can no longer defend against lack of transparency by defaulting to the complexity of our supply chains and payment systems. They’re excuses. The realities of generative AI and interoperability assure information driven healthcare that’s publicly accessible and inclusive of prices, costs, outcomes and business practices. In the process, the public’s interest will heighten and lawsuits will increase. …”

Paul Keckley, Feb. 12, 2024


News to Know

  • MHA offices will be closed and no formal meetings will be scheduled Feb. 19 in honor of President’s Day.
  • The MHA is offering its popular Healthcare Leadership Academy program March 13-15 and May 1-2.
  • The AHA’s Institute for Diversity and Health Equity recently launched their 2024 Diversity, Equity and Inclusion Survey.

New CPT Codes for RSV Vaccine Administration

The Centers for Medicare & Medicaid Services (CMS) added two new Current Procedural Terminology (CPT) codes for administration of monoclonal antibodies (Nirsevimab) for respiratory syncytial virus (RSV), for dates of service on and after Oct. 6, 2023.

  • 96380 – This provider administers a monoclonal antibody product to protect the patient against respiratory syncytial virus. This is a seasonal dose injected into muscle. A physician or other qualified healthcare professional also provides counseling related to the administration.
  • 96381 – This provider administers a monoclonal antibody product to protect the patient against respiratory syncytial virus. This is a seasonal dose injected into muscle.

More information can be found on the CMS or AMA websites. Members with questions may contact Kelsey Ostergren at the MHA.