The DHEC 1146 form is an essential document used by healthcare providers within the Vaccines for Children (VFC) Program to ensure proper patient eligibility screening for immunizations. Its primary role is to record the eligibility of children, aged 18 and younger, for publicly funded vaccines during each immunization visit. This record, which can be completed by a parent, guardian, individual of record, or healthcare provider, is crucial for maintaining compliance with state laws, which often require that these records be kept for a minimum of three years. The form categorizes children into those eligible for the VFC program and those who are not, based on various factors such as Medicaid enrollment, insurance coverage, and specific hardships or caps on vaccine coverage. In particular, it highlights the unique considerations for underinsured children and those facing financial hardships, outlining the necessity for these children to receive immunizations through designated providers like Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs), or under approved deputized providers. The detailed instructions accompanying the form ensure that healthcare providers capture all necessary information to comply with both the VFC and South Carolina State Vaccine Program requirements, highlighting the form’s critical role in facilitating access to crucial vaccines for all eligible children.
| Question | Answer |
|---|---|
| Form Name | Dhec 1146 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | dhec form 1146, RHC, 2011, immunizations |