Erroneously Denied Claims for the Vaccines for Children Program

December 14, 2020

The Department of Health Care Services (DHCS) has identified a claims processing issue that causes claims billed for CPT® codes for the Vaccine for Children (VFC) program using the SK and SL modifier after July 1, 2020 to be denied.

DHCS is aware of this issue and is working on a resolution to stop these claims from being denied.

Providers should continue to submit claims in a timely manner. A Supplemental Processing Guide (SPG) will be implemented to review and process affected claims.