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Important Information for Participating Providers

Date: 05/15/19

**Effective immediately**

A recent audit by NM DOH for the Vaccine for Children (VFC) program revealed that some providers are using “penny place holders” ($.01 claim) on their claims. This is problematic in that the DOH VFC Provider Agreement indicates that the providers will not charge for the cost of the vaccine. As a result, Western Sky Community Care will require participating providers to bill a zero charge for that line item. WSCC will not require a participating provider from billing with $0.01.  If a provider submits a claim with such a line item, we will not pay the $.01. If any questions should arise please feel free to contact Provider Services at 1-844-738-5019.

Important Notification for Participating Providers (PDF)