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Board discusses local vaccine billing, credentialing and $3,001.93 example revenue from Oct. 9 clinic
Summary
Montezuma County staff presented billing scenarios and administrative requirements for local vaccine clinics, citing a potential $3,001.93 in revenue from an Oct. 9 clinic if billed under Medicaid rates and urging credentialing and administrative oversight before Dolores County assumes billing.
Agency official (S2) presented an example revenue sheet for an Oct. 9 clinic and explained how Medicaid rates, VFC status and credentialing affect potential revenue retention. "So for a total of $3,001.93 could have been revenue on October 9," S2 said, and then walked the board through per‑shot Medicaid assumptions and the administrative costs of creating and maintaining fee schedules and billing systems.
S2 noted that credentialing providers with insurers and Health First Colorado is necessary to capture reimbursements and that the VFC program locally is paused; relaunching local billing would require training and administrative tracking, including fee‑schedule updates and reconciliations with the county treasurer. The board discussed liability and oversight: who enters information into the state immunization system (SIS), who signs off on medical records, and how administrative checks and balances should be structured to avoid data errors.
S2 recommended training and possibly credentialing Mallory or contracting a part‑time local nurse to handle billing and clinical oversight while Dolores County builds internal capacity. The board asked staff to return with detailed cost estimates and a proposed implementation schedule.
