A reader of the Times‘ Facebook page complained that her 11-year-old son, who was covered by ARKids B — for the underinsured, or, as she described it, the “working poor” — was not able to get his tetanus shot because of what was described to her as “muddled insurance.” She learned is that while there is vaccine for children covered under ARKids A, there is a shortage for kids covered under ARKids B. “I don’t know what’s going on here, but something is amiss and I’m one pissed off mama that vaccines are sitting there but he can’t have them because of his “class,” she wrote.

But ARKids A recipients aren’t getting vaccine at a cost to ARKids B. Here’s how Dr. Gary Wheeler, branch chief for infectious diseases chief medical officer at the State Health Department, explains what has happened:

Advertisement

The federal government wanted Arkansas’s Medicaid system — created in 1998 by a kinder [my description, not Wheeler’s] Gov. Mike Huckabee and Amy Rossi, then director of Arkansas Advocates for Children and Family —  to get in line with other states and move its underinsured clients into the federal SCHIP (State Children’s Health Insurance) program. That program provides federal dollars to states to subsidize private insurance.

Vaccines supplied by Medicaid can only be used for ARKids A. The Health Department had to purchase vaccines for SCHIP kids with SCHIP dollars.  [See clarification below.]
 
Using an estimator provided by the Centers for Disease Control because the exact number of children on SCHIP was unknown, the Health Department, using $1.2 million in SCHIP funding, ordered 18,000 doses of childhood vaccines. The estimator was way off. The department has now ordered 44,000 more doses of vaccines (with $2 million in SCHIP funds). The vaccines should be in Arkansas in a month or so. An appointment to get needed vaccines is now all that’s needed for kids to be able to attend school. 

Advertisement

The tetanus shot is actually a combination of tetanus, diphtheria and pertussis (whooping cough). 

The bright picture, Wheeler said, is that Arkansas is catching up to the rest of the country in the percentage of vaccinated children, especially those getting the meningococcal vaccine, which is now required for school attendance.

Advertisement

Private doctors who have vaccine on hand that they have paid for may use that vaccine for their SCHIP patients and be resupplied by the Health Department.

CLARIFICATION: 

Advertisement

Children covered by ARKids A (Medicaid) receive vaccine through the federal Vaccine for Children (VFC) program. VFC vaccine can only be used for ARKids A. Children on ARKids B must now receive vaccine through SCHIP. The Health Department had to purchase vaccines for SCHIP kids with SCHIP dollars provided by Medicaid.

 

Advertisement

Arkansas Times: Your voice in the fight

Are you tired of watered-down news and biased reporting? The Arkansas Times has been fighting for truth and justice for 50 years. As an alternative newspaper in Little Rock, we are tough, determined, and unafraid to take on powerful forces. With over 63,000 Facebook followers, 58,000 Twitter followers, 35,000 Arkansas blog followers, and 70,000 daily email blasts, we are making a difference. But we can't do it without you. Join the 3,400 paid subscribers who support our great journalism and help us hire more writers. Sign up for a subscription today or make a donation of as little as $1 and help keep the Arkansas Times feisty for years to come.

Previous article When reading poll results, keep Deez Nuts in mind Next article Harrison store Ashley Music to close after 70 years in business