The mpox vaccine is currently provided at no cost to individual recipients.
Please refer to the following information if you or individuals in your community are in a situation where a provider is seeking reimbursement directly from a recipient – rather than through private insurance, Medicare, or Medicaid.
What to expect: The federal government currently provides JYNNEOS vaccine for the prevention of mpox at no cost. Healthcare provider organizations offering to administer mpox vaccinations agree to comply with federal requirements outlined in a provider agreement. This includes administering the vaccine at no cost to the recipient and regardless of the vaccine recipient’s ability to pay the administration fees. Providers can seek reimbursement from insurance, but not from the recipient directly.
What to do if I’m being billed for mpox vaccination: You can point out the HHS provider agreement to the clinic (see provision #6). You can email the WA Department of Health (WAAdultVaccines@doh.wa.gov) to report the issue (and share the provider clinic name and location).
The Department of Health will reach out to the clinic to provide education, and request any direct payments received for mpox vaccine administration from the recipient be reimbursed.
If you have questions or would like to request assistance, please contact mpv@wearedh.com.