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Universal Influenza Immunization Program (UIIP)

Reimbursement for Administration

Fee-for-Service Providers (OHIP)

It is important for the ministry to capture administrative data on influenza immunization for the purposes of program monitoring and evaluation. Therefore, when billing through the Ontario Health Insurance Plan (OHIP), please select the applicable OHIP billing code that is specific for influenza immunization.

Physicians are encouraged to review the delegation requirements in the General Preamble of the Schedule of Benefits for Physician Services prior to holding immunization clinics. Physicians who have concerns regarding these requirements or who have additional questions should contact their local OHIP district office.

Injection-Trained Pharmacists (HNS)

Pharmacists will be paid a fee per eligible claim for publicly funded influenza vaccines administered to eligible Ontarians who are 5 years of age and older. The claim must be submitted through the ministry's Health Network System (HNS) using the assigned Drug Identification Number. The 2019/2020 updated Notice from the Executive Officer will be published later in the fall and will provide further information on Pharmacist Administration of Publicly Funded Influenza Vaccine and Claims Submission using the HNS.

If an individual does not have an OHIP card, they are still eligible to receive publicly funded influenza vaccine, however, these doses are non-reimbursable. Please complete a Universal Influenza Immunization Program Pharmacy Form for these doses for vaccine administration tracking purposes. The form should be submitted to the ministry by the 15th of the following month. Clicking the submit button on the form will automatically send the form to the ministry.

Health Care Agency-Administered Doses in Pharmacies

The pharmacy will be reimbursed $5.00 for each dose of publicly funded influenza vaccine administered through health care agency-administered pharmacy clinics.

For a health care agency-administered pharmacy clinic to be eligible for reimbursement by the ministry all the following criteria must be met:

Complete a Universal Influenza Immunization Program Pharmacy Form to receive reimbursement for influenza vaccine doses administered during a health care agency-administered pharmacy clinic. Forms should be submitted monthly, with the total doses administered over the month. The form should be submitted to the ministry by the 15th of the following month. Clicking the submit button on the form will automatically send the form to the ministry.

It is the responsibility of the pharmacy owner or pharmacist to ensure that information on the Universal Influenza Immunization Program Pharmacy Form is completed in full prior to submission.

Universal Influenza Immunization Program Pharmacy Forms without a valid Ontario Drug Benefit (ODB) number cannot be paid as the ministry has no other means of providing reimbursement.

Community Clinics (held by government transfer payment organizations)

The ministry will reimburse government transfer payment organizations $5.00 for each dose of publicly funded influenza vaccine administered through community-based clinics open to the general public. Clinics for staff are considered workplace clinics and are NOT reimbursable.

Reimbursable clinics can only be provided by UIIP approved organizations that are in current receipt of government transfer payments (i.e., LTCHs, public hospitals and CHCs) provided that ALL of the following conditions are met:

Complete a Universal Influenza Immunization Program Reimbursement Form to receive reimbursement for influenza vaccine doses administered during an eligible community clinic. Forms should be submitted monthly, with the total doses administered over the month. The form should be submitted to the ministry by the 15th of the following month. Clicking the submit button on the form will automatically send the form to the ministry.

For More Information

Please e-mail uiip.moh@ontario.ca or call Service Ontario, INFOline at 1 877-844-1944