(a) An assessable entity and other program participant shall, after being phased into the program under procedures approved by the commissioner,
(1) pay to the department the annual combined vaccine assessments as determined under the program for the included vaccines covered by the assessable entity or other program participant for each covered individual on a schedule adopted by the council;
(2) provide information requested by the council to determine the number of covered individuals, actual vaccine usage under the program, and other data necessary to calculate and monitor compliance with the vaccine assessment; and
(3) provide audited financial statements upon request of the council.
(b) A vaccine assessment must include a reasonable contribution toward support of the program and appropriate reserve funds, as determined by the council. A vaccine assessment may not include a provider fee for the administration of the vaccine.
(c) A vaccine assessment shall be construed as a medical expense of the assessable entity or other program participant.
(d) An assessable entity or other program participant may appeal a determination of a vaccine assessment made by the council to the commissioner within 10 days after receiving notification of the assessment. The commissioner shall review the appeal and all materials relevant to the assessment that is the subject of the appeal and shall modify the assessment if the commissioner finds substantial evidence of an error.
(e) An assessable entity may opt out of the program during the three-year phase-in period under procedures approved by the commissioner.
Section: Previous 18.09.200 18.09.210 18.09.220 18.09.225 18.09.230 18.09.240 NextLast modified: November 15, 2016