ExhibitEFBP_HEP_B_Vaccine_Algorithm.pdf

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US MEPCOM Fee Basis Providers
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W81K04-18-R-0003
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Exhibit E-FBP HEP Vaccine Algorithm

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Updated 2/24/16

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Required Hepatitis B Vaccination Documentation for FBP File

Candidate reports Hepatitis B vaccine series completion in the past, but unable to provide documentation of series completion

****Documentation of Completion of Hepatitis B Vaccination Series and Titer showing positive Immunity to Hepatitis B

Documentation for the file of the vaccination dates and positive titer results

Candidate declines the Hepatitis B vaccine series or candidate states they received the series, but decline titers to show proof of immunity

Applicant signs declination form and placed in the file

Obtain titer for proof of immunity

Titer + immunity

Titer **negative immunity

Done, documentation in the file

*Hepatitis B vaccine booster

*Complete Hepatitis B vaccine series per standard guidelines

***Documentation in the file of completed series

Titer at 1- 2 months post booster

Positive immunity

Negative immunity

***Documentation in the file

Complete Hepatitis B vaccine series (2 more doses) per standard schedule ***documentation in file of completed series

* may start work at MEPS once initial dose is given, but must provide completed series documentation per contract guidelines **anti HBs <10mIU/ml is considered a negative titer ***documentation only required at initial review, not at subsequent 2 year review ****Positive titer results alone will be accepted if no documentation of the series can be provided

Sign Declination Form for the File

Declination form signed and into the file

Reference: www.CDC.gov- A Comprehensive Immunization Strategy to Eliminate Transmission of Hepatitis B Virus Infection in the U.S.,2006 http://www.cdc.gov/ alfredo.fuerte Typewritten Text

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