Ramona Whittington
From: Roxana Cruz Sent: Tuesday, April 20, 2021 5:59 PM To: Medical Directors; Dental Directors; [email protected]; [email protected]; Myrta Garcia; Lindsay Lanagan; catherine.threatt; Abby Villafane; Lynn Roberts; [email protected]; [email protected]; Dr Flower; Vicky Jefferson, Lone Star Circle of Care Cc: Jana Eubank; Daniel Diaz; Shelby Tracy; ClinicalTeam; Ramona Whittington Subject: COVID -19 Vaccine Weekly Update: Week 19 (04-19-2021) Attachments: COVID Therapeutics Monoclonalantibodychecklist.pdf; provider-covid-vaccine-factsheet.pdf; COVID-19 Vaccines FAQ_TACHC Apr2021.pdf; COVIDVaccineAllocation-Week19_HealthCenters.pdf
Dear Fellow Directors and Vaccine Coordinators,
Here is your COVID ‐19 Vaccine Weekly Update for Week 19 (04‐19‐2021) DSHS COVID Vaccine Allocations of 6,800 doses were made to 35 FQHC Health Center sites (see attached). This brings us to 189,465 doses allocated to approved 285 health center sites since roll‐out of the DSHS program. TACHC is working with DSHS to review data (ImmTrac2, VAOS, TDEM) for COVID‐19 vaccine allocations and administered doses on a weekly basis. Unfortunately, some significant discrepancies appear on the DSHS reports for a number of health centers…you are not alone. TACHC has developed a COVI‐19 FAQ for trouble shooting issues that arise related to administration and/or reporting vaccines (see attached). TACHC and HRSA encourage all health centers to join the HHS COVID-19 Community Corps. With everyone who is 16 or older now eligible for the COVID-19 vaccine, the Surgeon General shared a social media toolkit to make it easy for you to get the message out. Messaging: for updated, credible information on COVID‐19 vaccination, visit cdc.gov. For information about the HHS COVID‐19 Public Education Campaign, visit wecandothis.hhs.gov and hhs.gov/CovidCommunityCorps.
HRSA Federal Vaccine Program allocations provided to: 35 Health Centers participating and 38 additional Health Centers invited to participate: https://www.hrsa.gov/coronavirus/health‐center‐program/participants/tx https://www.hrsa.gov/coronavirus/health‐center‐program HRSA Vaccine Program Open Office Hours on Wednesday at 1:00PM ET HRSA hosts an open office hour every Wednesday to share key information, discuss hot topics, and answer participants' questions. Check the VPC for more details and the Zoom link. We plan to continue to offer open office hours weekly at this same time. Access other events, including CDC hosted webinars, on the Upcoming Events Discussion Board in the VPC.
Vaccine Updates: Overview of Health Center COVID‐19 Vaccinations Among Racial and Ethnic Minority Patients https://data.hrsa.gov/topics/health‐centers/covid‐vaccination
All Americans at least 16 years old are now eligible for COVID‐19 vaccines.
Texas is seeing a slight rise in new cases over the past week, with 1,073 new confirmed cases in the past 24 hours (https://txdshs.maps.arcgis.com/apps/dashboards/ed483ecd702b4298ab01e8b9cafc8b83) Recent COVID‐19 outbreaks in Michigan, Florida and other states have the whole country dreading a fourth surge in the pandemic; in a recent episode of the “AMA COVID‐19 Update,” Harris Pastides, PhD, MPH, an epidemiologist and president emeritus of University of South Carolina, laid out best practices for public health officials and physicians on the front lines.
1 Recommendation to Pause Use of Johnson & Johnson’s Janssen COVID‐19 Vaccine — CDC and FDA are reviewing data involving a small number of reported cases of a rare and serious type of blood clot in individuals after receiving the Johnson & Johnson/Janssen (J&J) vaccine. Out of an abundance of caution, a pause in the use of the J&J vaccine was recommended as CDC and FDA review this data. o Based on what is known, these blood clots are extremely rare. However, healthcare providers and individuals should be on alert for possible symptoms of a clot, which include severe headache, abdominal pain, leg pain, or shortness of breath. o Vaccine safety is a top priority for the federal government, and CDC takes all reports of health problems following COVID‐19 vaccination very seriously. Vaccine Adverse Event Reporting System (VAERS), is the nation’s established ‘early warning’ system for post licensure vaccine safety for both routine immunizations and COVID‐ 19 vaccines. Individuals that develop these symptoms within three weeks of receiving the J&J vaccine should seek medical care, and report the event to VAERS at https://vaers.hhs.gov/reportevent.html o The pause of the J&J vaccine does not affect the two other vaccines that are widely used in the United States ‐ Pfizer‐BioNTech or Moderna. For individuals who already have appointments for J&J vaccines, state and federal partners are working to get these appointments rescheduled for a Pfizer or Moderna vaccine. In accordance with HHS recommendation that vaccine providers pause on administering the Johnson & Johnson (J&J) COVID‐ 19 vaccine, HRSA will not accept new orders for Johnson & Johnson vaccine this week.
For more information about the J&J vaccine visit: Recommendation to Pause Use of Johnson & Johnson’s Janssen COVID‐19 Vaccine | CDC Additional resources can be found below: Joint CDC and FDA Statement on Johnson & Johnson COVID‐19 Vaccine Joint Media Call: FDA & CDC to Discuss Janssen COVID‐19 Vaccine Dr. Fauci’s video on what people need to know about the J&J vaccine recommended pause Frequently Asked Questions about the J&J Vaccine Pause Frequently Asked Questions about VAERS Reporting for COVID‐19 Vaccines HRSA’s Fact Sheets for Patients and Providers on COVID‐19 Care for Uninsured Individuals
In Case You Missed It Clinician Outreach and Communication Activity (COCA) – Johnson & Johnson/Janssen COVID‐19 Vaccine and Cerebral Venous Sinus Thrombosis with Thrombocytopenia – Update for Clinicians on Early Detection and Treatment — The Clinician Outreach and Communication Activity (COCA) held a call Thursday, April 15, 2021. During this COCA Call, participants received the latest evidence on cerebral venous sinus thrombosis (CVST) with thrombocytopenia associated with the administration of the Johnson & Johnson/Janssen COVID‐19 vaccine. Speakers discussed what is known about CVST, the importance of early detection, and updated vaccine recommendations. For more information, please visit: COCA Calls/Webinars
Vaccine Administration Fees: (HRSA) What Providers Need to Know About COVID‐19 Vaccine Fees and Reimbursements (attached Fact Sheet) For Health Care Providers https://coviduninsuredclaim.linkhealth.com Uninsured Patient COVID Services Flyer (attached HRSA Flyer/Poster) For Patients https://www.hhs.gov/coronavirus/cares‐act‐provider‐relieffund/for‐patients
Therapeutics: Monoclonal antibody therapies remain available under EUA, including REGEN‐COV (casirivimab and imdevimab, administered together), and bamlanivimab and etesevimab, administered together, for the same uses as previously authorized for bamlanivimab alone, which recently had its EUA revoked. https://www.fda.gov/news‐events/press‐ announcements/coronavirus‐covid‐19‐update‐fda‐revokes‐emergency‐use‐authorization‐monoclonal‐antibody‐ bamlanivimab https://www.idsociety.org/covid‐19‐real‐time‐learning‐network/therapeutics‐and‐interventions/monoclonal‐ antibodies/ Safety Checklist (ECRI): “Administration of Monoclonal Antibody Therapy for the Treatment of COVID‐19 in Non‐ hospitalized Patients” (see attached)
2
CDC Updates: CDC Partner Webinar: When to Clean, When to Disinfect, and What Science Says about SARS‐CoV‐2 on Surfaces | April 19, 2021, 2:00 pm CST — Dr. Cynthia Ogden will share updates on CDC’s COVID‐19 response, including the latest scientific information and what everyone should know about protecting themselves and others. Dr. Vincent Hill will discuss how SARS‐CoV‐2 impacts cleaning and disinfecting surfaces. Use this web‐link to register for this event.
COVID Updates: As pandemic enters year 2, mental health burden becomes clearer One in three COVID‐19 long‐haulers experience anxiety, depression and more. Learn more about mental health and COVID‐19. Read more from the AMA. "Can COVID‐19 Vaccines Provide Relief For Long Haulers With Persisting Symptoms?". Click here to view: Can COVID‐ 19 Vaccines Provide Relief For Long Haulers With Persisting Symptoms?
Updated: Healthcare Delivery Impacts Tip Sheet and Summary Document This updated tip sheet describes the short‐ and long‐term effects of COVID‐19 related community mitigation measures on the healthcare system, including morbidity and mortality from chronic health conditions and lack of access. The accompanying summary document can help healthcare system planners prepare to mitigate these potential healthcare delivery impacts.
Webinars: “COVID‐19 Vaccine Update” Date: April 13 at 3 p.m. CT New webinar! Register now: Host: Susan R. Bailey, MD, president, AMA
FREE WEBINAR FOR PUBLIC HOUSING AUTHORITIES AND COMMUNITY PARTNERS “A Vaccine Near You: Community‐Based Access Strategies” April 21, 2021 at 1:00 PM – 2:30 PM (CST) Please register for this webinar here.
TACHC COVID‐19 Vaccine Administration Open‐House Call Wednesday April 28, 2021 @ 12:noon – 1:pm https://www.tachc.org/Online/Events/Event_display.aspx?EventKey=VACCADMIN&WebsiteKey=c7fdf3bd‐706d‐ 4253‐8852‐9535b5cf43c2
TACHC Registration link for the April 30th “Trusted Messengers: Let’s Talk Vaccines” webinar scheduled for Friday April 30, 2020 @ 12:noon ‐1:pm This presentation will provide health center staff with an opportunity to hear from Dr. Jason McLellan, molecular biologist researcher at University of Texas, whose team was able to map the genetic code of the key spike protein, part of the COVID virus that infects human beings and the crucial element in creating a “structure‐based vaccine.” Dr. McLellan and his team at the University of Texas at Austin collaborated with the National Institutes of Health to share the spike protein model with scientists around the world to develop the vaccines and the treatment modalities.
A panel discussion will follow, focusing on vaccine messaging strategies from health center staff, faith‐based leaders, and front line workers included in the conversations will be best practices to achieve vaccine confidence over hesitance or deliberation.
Thank you for your continued commitment and the great job you are doing for your patients and your communities! ~ Roxana
Roxana L. Cruz, MD , FACP Director of Medical & Clinical Affairs
Texas Association of Community Health Centers 5900 Southwest Parkway, Bldg. #3 3 Austin, Texas 78735 P (512) 329-5959 F (512) 329-9189 e-mail: [email protected] www.TACHC.org
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4 Texas COVID-19 Vaccine Allocation - Week of April 19 (Week 19) This list includes only first doses of vaccine. Addresses are shipping addresses, not necessarily where vaccination is occurring.
HUB PROVIDERS Moderna Pfizer J&J Total Provider Name Address City County Doses Doses Doses Doses Medical Clinic Of Muleshoe 708 S 1st St Muleshoe BAILEY 300 - - 300 A+ Life Style Medical Group 815 Hwy 71 W Bastrop BASTROP 2,000 - - 2,000 Samhd Main Immunizations Clinic 210 N Mel Waiters Way San Antonio BEXAR 1,000 12,870 - 13,870 University Health System - Inpatient 4502 Medical Dr San Antonio BEXAR - 19,890 - 19,890 Wellness 360 (Adult) 7703 Floyd Curl Dr San Antonio BEXAR 2,000 7,020 - 9,020 Chi St Joseph Health College Station Hospital 1604 Rock Prairie Rd College Station BRAZOS 2,000 - - 2,000 BSW Medical Center Marble Falls 810 Tx-71w Marble Falls BURNET - 1,170 - 1,170 Ut Health Rgv Multispecialty 2106 Treasure Hills Blvd Ste 1.326 Harlingen CAMERON - 1,170 - 1,170 Ccdhhs San Benito Nursing Office 1390 W Expressway 83 San Benito CAMERON 6,000 - - 6,000 Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd Plano COLLIN - 11,700 - 11,700 Coryell Health Medical Clinic 1507 W MAIN ST Gatesville CORYELL - 1,170 - 1,170 Baylor University Med Cntr Dallas 3500 Gaston Ave Dallas DALLAS - 5,850 - 5,850 City Of Dallas 1500 Marilla St Dallas DALLAS 5,000 - - 5,000 LHD Dallas County Health And Human Services (Re) 2377 N Stemmons Fwy Dallas DALLAS 11,000 11,700 - 22,700 Parkland Hospital (incl. Fair Park site) 5200 Harry Hines Boulevard Dallas Dallas - 35,100 - 35,100 UT Southwestern Medical Center 5151 HARRY HINES BLVD Dallas DALLAS - 9,360 - 9,360 Lhd Garland (City Of) Health Dept (Re) 206 Carver Dr Garland DALLAS 2,000 - - 2,000 LHD Denton County Public Health (RE) 535 S. Loop 288 Denton DENTON - 25,740 - 25,740 City of El Paso Fire Department 301 GEORGE PERRY BLVD El Paso EL PASO 10,000 - - 10,000 University Medical Center of El Paso 4815 Alameda Ave El Paso EL PASO - 5,850 - 5,850 Baylor Scott And White Medical Center - Waxahachie 2400 N. I-35e Waxahachie ELLIS - 3,510 - 3,510 Falls Community Hospital & Clinic 322 Coleman St Marlin FALLS - 1,170 - 1,170 Tmc Bonham Hospital 504 Lipscomb St Bonham FANNIN - 1,170 - 1,170 LHD FORT BEND COUNTY HEALTH DEPARTMENT (HHS) (RE) 4520 Reading Rd Rosenberg FORT BEND - 5,850 - 5,850 University Of Texas Medical Branch Hospital 301 University Blvd Galveston GALVESTON - 8,190 - 8,190 LHD Galveston County Health District (RE) 9850 B Emmett F Lowry EXpy Texas City GALVESTON 5,000 - - 5,000 Chi St Lukes Health 6720 Bertner Ave Houston HARRIS - 2,340 - 2,340 HCPH Main Office 2223 WEST LOOP S Houston HARRIS 10,000 - - 10,000 Houston Health Department Immunization Bureau 8000 N Stadium Dr Houston Harris 10,000 - - 10,000 Houston Methodist Hospital 6565 Fannin St Houston HARRIS - 17,550 - 17,550 Memorial Hermann Memorial City Medical Center 921 Gessner Rd Houston HARRIS 1,000 5,850 - 6,850 NRG Center One NRG Park Houston HARRIS - 42,120 - 42,120 Lhd Hays County Health Department (Re) 401 Broadway St Ste A San Marcos HAYS - 4,680 - 4,680 DHR Health 5501 S MCCOLL RD Edinburg HIDALGO - 7,020 - 7,020 Lhd Hidalgo County Health Department (Re) 1304 S 25th Ave Edinburg HIDALGO 6,000 - - 6,000 Ut Health Rgv Employee Health Edinburg 1210 W Schunior St Edinburg HIDALGO - 1,170 - 1,170 Christus Spohn Health System Alice 2500 E Main St Alice JIM WELLS - 1,170 - 1,170 Christus Spohn Health System Kleberg 1311 General Cavazos Blvd Kingsville KLEBERG - 1,170 - 1,170 Kleberg County Sheriff's Office 1500 E King Ave Kingsville KLEBERG 500 - - 500 Emergency Hospital Systems, LLC 300 E Crockett Cleveland LIBERTY - 1,170 - 1,170 Lhd Lubbock City Health Dept (Re) 806 18th St Lubbock LUBBOCK 5,000 - - 5,000 Eagle Pass Fire Department 489 S MONROE ST Eagle Pass MAVERICK 600 - - 600 Lhd Waco-Mclennan Co Phealth Dist (Re) 225 W Waco Dr Waco MCLENNAN 1,000 - - 1,000 Lone Star Community Health Center 605 S. Conroe Medical Dr Conroe MONTGOMERY 1,000 - - 1,000 Parker County Hospital District 1130 Pecan Dr Weatherford PARKER - 2,340 - 2,340 LHD Amarillo DOH 1000 Martin Rd Amarillo POTTER 3,000 - - 3,000 Pecos Valley Rural Health Clinic 2335 S Pigman St Pecos REEVES 800 1,170 - 1,970 Tarrant Co Ph Imm Outreach 1101 S Main St Ste 1350 Fort Worth TARRANT 17,000 8,190 - 25,190 Texas Health Medical Support 1100 BRIDGEWOOD DR STE 107 Fort Worth TARRANT - 21,060 - 21,060 Lhd Abilene-Taylor County Health Department (Re) 850 N 6th St Abilene TAYLOR 1,000 - - 1,000 Shannon Pharmacy 119 E. Beauregard Ave San Angelo TOM GREEN - 2,340 - 2,340 Austin Public Health 15 Waller Street Austin TRAVIS 12,000 - - 12,000 Ut Health Austin (Dell Medical School) 1601 TRINITY ST STOP Z0200 Austin TRAVIS - 8,190 - 8,190 City Of Laredo Health Department 2600 Cedar Ave Laredo WEBB 5,000 - - 5,000
ADDITIONAL PROVIDERS Moderna Pfizer J&J Total Provider Name Address City County Doses Doses Doses Doses Prescription Shop Andrews 813 Hospital Dr Andrews ANDREWS 100 - - 100 Texas Department of Criminal Justice DIBOLL 1604 S 1ST ST Diboll ANGELINA 100 - - 100 Abeldt's Gaslight Pharmacy, Inc. 200 Gaslight Blvd Lufkin ANGELINA 100 - - 100 Internal Medicine Associates 1121 Hwy 35 N Rockport ARANSAS 100 - - 100 Shri Durga Drugs, LLC 19450 McDonald St Lytle ATASCOSA 200 - - 200 Pine Medical PLLC 1412 S Front St Bellville AUSTIN 200 - - 200 Walter's Pharmacy 250 W palm Bellville AUSTIN 100 - - 100 Lscc Bastrop Hlth Cl Wmn Wlns 605 Old Austin Hwy Bastrop BASTROP 100 - - 100 Canyon Creek Behavioral Health 1201 Canyon Creek Drive Temple BELL 100 - - 100 DSHSHSR 7 HQ - Temple (RE) 2408 South 37th Street Temple BELL 500 - - 500 Lone Star Circle Of Care At Temple 2112 Sw H K Dodgen Loop Ste 110 Temple BELL 100 - - 100 A Thru Z Pediatrics - San Antonio 2 1314 E Sonterra Blvd Ste 5102 San Antonio BEXAR 100 - - 100 Adult And Pediatric Allergy, Asthma And Immunology 8001 Broadway St San Antonio BEXAR 200 - - 200 Christus Santa Rosa Medical Center 2827 Babcock Rd San Antonio BEXAR 200 - - 200 Davila Pharmacy 1423 Guadalupe San Antonio BEXAR 500 - - 500 DMS PHARMACY LLC 305 E. EUCLID AVENUE San Antonio BEXAR 100 - - 100 Dshs HSR 8 Hq - San Antonio (Re) 7430 Louis Pasteur Dr San Antonio BEXAR 4,500 - - 4,500 Grey Canyon Family Medicine 19054 Stone Oak Pkwy San Antonio BEXAR - 1,170 - 1,170 Huebner Family Medicine 9480 Huebner Rd Ste 100 San Antonio BEXAR - 1,170 - 1,170 IDEA Public Schools San Antonio Region 7035 San Pedro Ave San Antonio BEXAR - 1,170 - 1,170 Livingston Med Lab LLC 18322 Sonterra Place San Antonio BEXAR - 2,340 - 2,340 North Central Baptist Hospital 520 Madison Oak Dr San Antonio BEXAR - 1,170 - 1,170 Pedidocs Pllc 9838 Westover Hills Blvd San Antonio BEXAR - 1,170 - 1,170 Renal Associates PA 1123 N Main Av San Antonio BEXAR - 1,170 - 1,170 Steven A Davis MD, PA 7810 Louis Pasteur Dr Ste 200 San Antonio BEXAR 200 - - 200 Texas Center For Infectious Disease 2303 Se Military Dr San Antonio BEXAR 2,400 - - 2,400 Texas Department of Criminal Justice DOMINGUEZ 6535 Cagnon Rd San Antonio BEXAR 100 - - 100 Trinity University Student Health Services One Trinity Place San Antonio BEXAR 500 - - 500 Brookshires Pharmacy 100 9295 Hwy 6 Meridian BOSQUE 100 - - 100 Texas Department of Criminal Justice Telford 3899 State Hwy 98 New Boston BOWIE 100 - - 100 Stephen F Austin Community Health Center Inc 905 N. Gulf Blvd Freeport BRAZORIA 1,500 - - 1,500 Texas Department of Criminal Justice Ramsey 1 1100 FM 655 RD Rosharon BRAZORIA 100 - - 100 Texas Department of Criminal Justice Stringfellow 1200 FM 655 RD Rosharon BRAZORIA 100 - - 100 Blinn College 2423 BLINN BLVD Bryan BRAZOS 1,000 - - 1,000 Texas A&M Health Family Care Clinic 8447 Riverside Parkway Bryan BRAZOS 1,200 - - 1,200 CHI St Joseph Primary Care - MOB 4421 State Highway 6 S Ste 100 College Station BRAZOS 100 - - 100 Accelhealth Brownwood 3804 Highway 377 S Brownwood BROWN 100 - - 100 Family Wellness Center, P.A. 2300 U S Hwy 281 N Marble Falls BURNET 100 - - 100 Brownsville Kiddie Health Center 95 E Price Rd Bldg F Brownsville CAMERON 100 - - 100 Brownsville Pharmacy #3 L.L.C 800 E. Alton Gloor Blvd Brownsville Brownsville CAMERON 100 - - 100 Carlos Rosas MD PA 704 Paredes Line Rd Ste A Brownsville CAMERON 100 1,170 - 1,270 Central Administration Building BISD 708 Palm BLVD Brownsville CAMERON - 1,170 - 1,170 Mindful Pediatrics 2200 Boca Chica Blvd Brownsville CAMERON - 1,170 - 1,170 Su Clinica Familiar - Brownsville 105 E Alton Gloor Blvd Brownsville CAMERON 100 - - 100 Triangle Specialized family Clinic 1805 E Ruben M Torres Blvd Brownsville CAMERON 200 - - 200 UTHealth RGV AHEC Primary Care At Bob Clark 9901 California Rd Brownsville CAMERON 400 - - 400 DSHS Harlingen (RE) 601 W Sesame Drive STE 100 Harlingen CAMERON 23,000 10,530 - 33,530 Salinas Pharmacy Inc 500 N Sam Houston Blvd San Benito CAMERON - 1,170 - 1,170 Bayside Community Hospital Po Box 398 Anahuac CHAMBERS 100 - - 100 LHD Cherokee County Health Department (RE) 803 College Ave Jacksonville CHEROKEE 100 - - 100 Texas Department of Criminal Justice ROACH 15845 FM 164 Childress CHILDRESS 300 - - 300 Texas Malone Healthcare, LLC 1500 High Country Lane, Allen Texas Allen COLLIN - 1,170 - 1,170 Bryan G Johnson Md 6842 Main St Ste 203 Frisco COLLIN - 2,340 - 2,340 Prime Choice Family Clinic & Urgent care 12828 Eldorado Pkwy Frisco COLLIN - 1,170 - 1,170 BERG & MINIGUTTI PLLC 8000 ELDORADO PKWY McKinney COLLIN 100 - - 100 Fairview Dermatology 331 Town Pl McKinney COLLIN 100 - - 100 McKinney Pharmacy 1601 W University McKinney COLLIN 100 - - 100 JMTI Inc 5700 Tennyson Parkway Plano COLLIN - 1,170 - 1,170 North Texas Hospital Physicians Group 6020 W Parker Rd Plano COLLIN 100 - - 100 Youens And Duchicela Clinic 402 Youens Dr Weimar COLORADO 100 - - 100 Conviva New Braunfels 1860 S Seguin Ave Bldg E New Braunfels COMAL 100 - - 100 Spring Branch Pharmacy, Llc 17130 State Highway 46 W Spring Branch COMAL 100 - - 100 Health Hero America 244 Flightline Spring Branch COMAL_state 300 - - 300 Muenster Memorial Hospital 605 N. Maple St. Muenster COOKE 100 - - 100 Texas Department of Criminal Justice Hughes 3201 FM 929 Gatesville CORYELL 100 - - 100 Texas Department of Criminal Justice Murray 1916 N. Hwy 36 Bypass Gatesville CORYELL 100 - - 100 Brother Bills Helping Hand 3906 N. Westmoreland Rd. Dallas DALLAS 200 - - 200 Carpe Diem Health PLLC 17762 Preston Road Dallas DALLAS - 1,170 - 1,170 Compassion Care Clinic 1050 N Westmoreland Rd Ste 432 Dallas DALLAS 200 - - 200 Dallas Baptist University Student Health Center 3000 Mountain Creek Pwy Dallas DALLAS - 2,340 - 2,340 Diocese of Dallas Catholic Schools 3725 Blackburn Street Dallas DALLAS - 1,170 - 1,170 Dr. Bob Smith Health Center SMU 6211 Bishop Boulevard Dallas DALLAS - 1,170 - 1,170 Elitemed Laboratories, LLC 14468 Midway Rd Dallas DALLAS - 1,170 - 1,170 Family Healthwatch 4041 W Wheatland Rd Dallas DALLAS - 1,170 - 1,170 Hatcher Station Health Center 4600 Scyene Rd Dallas DALLAS 200 - - 200 Healing Hands Ministries 8515 Greenville Ave Ste N-112 Dallas DALLAS 100 - - 100 Healthworks Medical Group of Texas Darlington PA 208 S Akard Street Dallas DALLAS 500 - - 500 Kingsbrook Healthcare Services PLLC 1230 River Bend Dr Dallas DALLAS - 1,170 - 1,170 Metroplex Pharmacy Solutions LLC 12700 Hillcrest Rd Dallas DALLAS - 2,340 - 2,340 Southeast Dallas Health Center 9202 Elam Rd Dallas DALLAS 200 - - 200 Texas Tech University Health Sciences Center 5920 Forest Park Road Dallas DALLAS 100 - - 100 Garland Independent Pharmacy 3641 Broadway Blvd Garland DALLAS 1,500 - - 1,500 su Clinica Familiar 315 N SHILOH RD Garland DALLAS - 2,340 - 2,340 Vital Family Practice Center 1900 Oates Dr Mesquite DALLAS 200 - - 200 Caring For Children Foundation Care Van 1001 E. Lookout Rd Richardson DALLAS 800 - - 800 Chuling Jiang, Md 375 Municipal Dr Ste 244 Richardson DALLAS 100 - - 100 Lamesa Primary Clinic 1502 N Avenue K Lamesa DAWSON 100 - - 100 Regence Health Network Inc Hereford 125 W Park Ave Hereford DEAF SMITH 100 - - 100 Express Care Pharmacy 3648 Old denton rd Carrollton DENTON 100 - - 100 Fairway Family Medicine 4100 Fairway Dr Ste 320 Carrollton DENTON 100 - - 100 Addis Pharmacy 3305 S Mayhill Rd Ste 101 Denton DENTON 200 - - 200 University Of North Texas Student Health And Wellness Ctr 1800 Chestnut St Denton DENTON 500 - - 500 West Frisco Health And Wellness 4280 Main Street Frisco DENTON 200 - - 200 Cuero Regional Hospital 2550 N Esplanade St Cuero DEWITT 200 - - 200 Graceland Family Care - Carrizo Springs 2212 N 1st St Carrizo Springs DIMMIT 200 - - 200 John Garcia, MD PA 2453 E. 11th St. Odessa ECTOR 200 - - 200 Odessa Regional Medical Center 520 E 6th St Odessa ECTOR 1,000 - - 1,000 Sunflower Rx 700 N Grant Ave Ste 150 Odessa ECTOR 300 - - 300 CODE 4 EMERGENCY SERVICES LLC - EL PASO 240 N MOON El Paso EL PASO 2,000 - - 2,000 Conviva Cliffside 1211B Cliff Drive El Paso EL PASO 100 - - 100 Dshs Phr 9 /10 Hq - El Paso (Re) 401 E Franklin Ave Ste 210 El Paso EL PASO 7,200 3,510 - 10,710 El Paso County Community College 10700 Gateway Blvd. East El Paso EL PASO 200 - - 200 Galo A Rodarte Md Pa 400 E Robinson Ave El Paso EL PASO - 1,170 - 1,170 Hillrise Home Management LLC 10662 Vista Del Sol Dr. El Paso EL PASO 200 - - 200 Project Vida Nafzger Health Clinic 3612 Pera Avenue, Suite P1 El Paso El Paso 100 - - 100 Roberto Canales Md Pa - El Paso 2 2295 Trawood Dr Ste C El Paso EL PASO - 1,170 - 1,170 ROBERTO CANALES, M.D., P.A. 1733 CURIE DRIVE, SUITE 103 El Paso EL PASO - 1,170 - 1,170 The Hospitals of Providence Memorial Campus 2001 N Oregon St El Paso EL PASO - 2,340 - 2,340 The University of Texas at El Paso 500 W. University Ave El Paso EL PASO - 2,340 - 2,340 Umc Neighborhood Healthcare Center West 6600 N Desert Blvd El Paso EL PASO - 1,170 - 1,170 Fulshear Family Medicine 7629 Tiki Dr Fulshear FORT BEND 100 - - 100 Christ Clinic 25722 Kingsland Blvd Katy FORT BEND 200 - - 200 Concierge Medicine and Wellness 208 Morton Street Richmond FORT BEND - 1,170 - 1,170 Memorial Hermann Sugar Land 17500 W Grand Pkwy S Sugar Land FORT BEND 2,500 5,850 - 8,350 Franklin County Rural Health Clinic 506 Texas Highway 37 Mount Vernon FRANKLIN 200 - - 200 Texas Department of Criminal Justice BRISCOE 1459 W Hwy 85 Dilley FRIO 100 - - 100 Bay Colony Pediatrics 2251 Fm 646 Rd W Dickinson GALVESTON 200 - - 200 Ashland 4501 Attwater Ave Texas City GALVESTON 200 - - 200 Coastal Health & Wellness 9850 EMMETT F LOWRY EXPY Texas City GALVESTON 100 - - 100 Giles W. Dalby Correctional Facility 805 N Ave F Post GARZA 200 - - 200 Cornerstone Clinic - Fredericksburg 514 W Windcrest St Fredericksburg GILLESPIE 200 - - 200 Sievers Medical Clinic 1110 Sarah DeWitt Dr. Gonzales GONZALES 300 - - 300 The Vaz Clinic 1103 N Sarah Dewitt Dr Gonzales GONZALES 100 - - 100 Dshs Pampa 121 S Gillespie St Pampa GRAY 100 - - 100 Imperical Care Internal Med 600 E Taylor Sherman GRAYSON 100 - - 100 LHD Gregg County Health Department (RE) 405 E. Marshall Ave Longview GREGG 100 - - 100 Hamilton General Hospital 400 N Brown St Hamilton HAMILTON 100 - - 100 BAYTOWN OCCUPATIONAL AND FAMILY MEDICINE 4002 GARTH ROAD Baytown HARRIS - 1,170 - 1,170 Prime Occupational Services-Baytown 3166 Decker Dr. Baytown HARRIS - 1,170 - 1,170 Prime Occupational Services-N Main 4404 N. Main St Baytown HARRIS 2,000 - - 2,000 Baylor College Of Medicine 1 Baylor Plz Stop Bcm-667 Houston HARRIS - 1,170 - 1,170 Ben Taub General Hospital 1504 Taub Loop Houston HARRIS - 3,510 - 3,510 Casa De Amigos Health Center 1615 N Main St Houston HARRIS 200 - - 200 Dshs Hsr 6/5s Hq - Houston (Re) 5425 POLK ST Houston HARRIS 1,500 - - 1,500 El Centro De Corazon Magnolia Clinic 7037 Capitol St Houston HARRIS 100 - - 100 Hope Clinic West 12121 Westheimer Rd Houston HARRIS 100 - - 100 InHouse Physicians, S.C. 1001 Louisiana Street Houston HARRIS 500 - - 500 Kelsey-Seybold Main Campus 2727 West Holcombe Blvd Houston HARRIS - 11,700 - 11,700 Lbj Hospital - Harris County Hospital District 5656 Kelley St Houston HARRIS - 3,510 - 3,510 Meyerland Kelsey-Seybold Clinic 560 Meyerland Plaza Mall Houston HARRIS 100 - - 100 Montrose Urgent Care LLC 5535 Memorial Drive Houston HARRIS - 1,170 - 1,170 Obur Heatlh PA 930 old Lake Rd Houston HARRIS 200 - - 200 Privia Medical Group Gulf Coast 1200 Binz St Houston HARRIS - 2,340 - 2,340 Proscript America Pharmacy 1801 Binz Street Houston HARRIS - 1,170 - 1,170 St Marys Medi Spa 4102 Fannin Houston HARRIS - 1,170 - 1,170 TCH Main 6621 Fannin St Houston HARRIS - 1,170 - 1,170 Texas Children's Hospital West Campus 18200 Katy Freeway Houston HARRIS - 1,170 - 1,170 Uncharted Territory Mental Health PLLC 507 North Sam Houston Parkway East sHouston HARRIS - 1,170 - 1,170 United Memorial Medical Center 510 West Tidwell Road Houston HARRIS - 2,340 - 2,340 UT MD Anderson Cancer Center 1515 Holcombe Blvd Houston HARRIS - 3,510 - 3,510 Village Medical-Cypress Falls 9511 Huffmeister Rd Ste 100 Houston HARRIS 100 - - 100 Zhengnan Yin MD PLLC 9600 BELLAIRE BLVD Houston HARRIS - 2,340 - 2,340 Texas Department of Criminal Justice Lynchner 2350 Atascocita Rd. Humble HARRIS 100 - - 100 Katy Medical Complex Pharmacy 21700 Kingsland Blvd Katy HARRIS - 1,170 - 1,170 Global Health 7720 Spencer Highway Pasadena HARRIS 1,000 - - 1,000 Rxsim 6918 Corporate Drive Houston HARRISON 200 - - 200 The Drug Store 100 S Avenue E Haskell HASKELL 200 - - 200 BSWH Buda Medical Center 5330 Overpass Rd Buda HAYS 1,000 - - 1,000 Christus Santa Rosa Hospital - San Marcos 1301 Wonder World Dr San Marcos HAYS 1,000 - - 1,000 Lakeland Medical Associates - Tvfc 040207 170 Municipal Dr Mabank HENDERSON 100 - - 100 Edinburg CISD Health Services Department 411 N 8th Ave Edinburg HIDALGO 4,000 - - 4,000 Nuestra Clinica Del Valle - Edinburg 301 N 87th St Edinburg HIDALGO 100 - - 100 Babies And Children's Clinic 900 W Sam Houston Blvd Ste 1 Pharr HIDALGO - 1,170 - 1,170 PHARR CHILDRENS DAY AND NIGHT CLINIC 807 N CAGE BLVD Pharr HIDALGO - 2,340 - 2,340 South Plains Rural Health Services, Inc. 1000 FM 300 Levelland HOCKLEY 200 - - 200 Granbury Hood County EMS Inc 2200 Commercial Ln Granbury HOOD 500 - - 500 Christus Mother Frances Hospital - Sulphur Springs 115 Airport Rd Sulphur Springs HOPKINS 300 - - 300 Texas Department of Criminal Justice EASTHAM Farm Road 230 Lovelady HOUSTON 100 - - 100 Howard County Community Health Center 1300 S Gregg St Big Spring HOWARD 100 - - 100 Texas A&M Commerce Student Health 2600 W Neal St Commerce HUNT 200 - - 200 Prime Occupational Services 3749 Highway 69 North Beaumont Jefferson 2,000 - - 2,000 Lhd Port Arthur City Health Dept (Re) 449 Austin Ave Port Arthur JEFFERSON 100 - - 100 Motiva Enterprises 2555 Savannah Ave Port Arthur JEFFERSON 100 - - 100 Burleson Public Health Authority 828 SW Alsbury Blvd Burleson JOHNSON 1,000 - - 1,000 Texas Department of Criminal Justice ESTES 1100 Highway 1807 Venus JOHNSON 100 - - 100 Anson General Hospital 101 Avenue J Anson JONES 100 - - 100 Karnes County Detention Facility 810 Commerce St. Karnes City KARNES 200 - - 200 Joel Saldana Md 3349 S Highway 181 Kenedy KARNES 100 - - 100 Mabank Family Pharmacy 207 N 3rd Street Mabank KAUFMAN 200 - - 200 Terrell Fire Department 201 East Nash Street Terrell KAUFMAN 2,000 - - 2,000 My Urgent Clinic LLC dba My Urgent Care Clinic 910 River Road Boerne KENDALL 200 - - 200 Cornerstone Clinic - Comfort 815 Front Street Comfort KENDALL 100 - - 100 Peterson Regional Medical Center - Kerrville 551 Hill Country Dr Kerrville KERR 1,000 - - 1,000 Coastal Bend Kids Clinic 1018 S 14th St Kingsville KLEBERG 200 - - 200 LAMPASAS DRUG COMPANY 202 N Key Ave Lampasas LAMPASAS 200 - - 200 Lavaca Medical Center 1400 N Texana St Hallettsville LAVACA 100 - - 100 Live Oak County Health Department 301 Houston St Annex Bldg Rm 10 George West LIVE OAK 100 - - 100 Corner Drug 600 Bessemer Ave Llano LLANO 100 - - 100 Dshs Phr 1 Hq - Lubbock (Re) 6302 Iola Ave Lubbock LUBBOCK 2,300 - - 2,300 Healthpoint Madisonville 100 W Cross St Madisonville MADISON 200 - - 200 Medical Arts Clinic - Bay City 1120 Avenue G Bay City MATAGORDA 100 - - 100 Brookshires Pharmacy 63 - Lorena 406 N Frontage Rd Lorena MCLENNAN 100 - - 100 Baylor Scott White Med Ctr Hillcrest 100 Hillcrest Medical Blvd Waco MCLENNAN - 1,170 - 1,170 Baylor University Student Health Services 209 Speight Ave Fl 2 Waco MCLENNAN 500 - - 500 Generation Rx Inc 206 N MAIN ST West MCLENNAN 100 - - 100 West Oak Med Clinic Pa 407 W Oak St West MCLENNAN 100 - - 100 Texas Department of Criminal Justice Joe Ney 114 Private Road 4303 Hondo MEDINA 100 - - 100 Texas Department of Criminal Justice Torres 125 Private Rd. 4303 Hondo MEDINA 100 - - 100 Complete Care Midland 1701 N Loop 250 W Midland MIDLAND 100 - - 100 Doctors Pharmacy 2215 N Midland Dr. Midland MIDLAND 200 - - 200 Midland Health & Senior Services 3303 W Illinois Ave Midland MIDLAND 200 - - 200 LHD MILAM CO HEALTH DEPT (RE) 209 S. Houston Ave Cameron MILAM 500 - - 500 Houston Methodist The Woodlands Hsptl 17201 Interstate 45 S Conroe MONTGOMERY - 5,850 - 5,850 Park Manor of Woodlands 1014 Windsor lake blvd. Conroe MONTGOMERY 100 - - 100 St. Hope Foundation 1414 S Frazier St Ste 105 Conroe MONTGOMERY 200 - - 200 Triumph Pharmacy 7030 Fm 1488 Magnolia MONTGOMERY - 1,170 - 1,170 JAMESON BOWLES DO, PLLC 17516 US Hwy 59 New Caney MONTGOMERY 200 - - 200 Hightech Family Care And Womens 920 Medical Plaza Dr Ste 450 Shenandoah MONTGOMERY - 1,170 - 1,170 Kelsey-Seybold Clinic The Woodlands 106 Vision Park Blvd Shenandoah MONTGOMERY 200 - - 200 Dshs Dumas 501 Success Blvd Dumas MOORE 100 - - 100 East Texas Community Health Services 1309 S UNIVERSITY DR Nacogdoches NACOGDOCHES 200 - - 200 Kroger Pharmacy 990 1215 North St Nacogdoches NACOGDOCHES 200 - - 200 Christus Spohn Health System Shoreline 600 Elizabeth St Corpus Christi NUECES 300 1,170 - 1,470 Best Value Waddy Pharmacy 106 Sw 6th Ave Mineral Wells PALO PINTO 100 - - 100 Simply Health Mobile Clinic 2915 South Highway 281 Mineral Wells PALO PINTO 100 - - 100 Mallik Medical Clinic 237 W 21ST ST Fort Stockton PECOS 100 - - 100 Brookshires Pharmacy 21 1253 W Church St Livingston POLK 100 - - 100 Texas Department of Criminal Justice Polunsky 3872 FM 350 South Livingston POLK 100 - - 100 West Texas A & M University Student medical 2620 Russell Long Blvd Canyon RANDALL 100 - - 100 Rockwall County Health Authority 1010 W Ralph Hall Pkwy Rockwall ROCKWALL 1,000 - - 1,000 Texas Department of Criminal Justice B MOORE 8500 FM N. 3053 Overton RUSK 100 - - 100 Lhd San Patricio Co Dept Of Health (Re) 313 N RACHAL ST Sinton SAN PATRICIO 100 - - 100 DSHS PHR 4/5N HQ - Tyler (RE) 2521 W Front St Tyler SMITH 1,500 1,170 - 2,670 Tyler Family Circle Of Care - Tyler - 214 E. Houston 214 E Houston St Tyler SMITH 300 - - 300 Glen Rose Healthcare Inc 409 Glenwood St Ste 500 Glen Rose SOMERVELL 100 - - 100 Family Health Center Llp 2768 Pharmacy Rd Rio Grande City STARR 1,000 - - 1,000 Roma Family Health Clinic - Roma 1 640 E Bravo Blvd # 110397 Roma STARR 200 - - 200 Lillian M Hudspeth Memorial Hospital 308 Hudspeth St Sonora SUTTON 100 - - 100 Abilene Internist And Assoc. 2608 Matlock Rd Arlington TARRANT 100 - - 100 Arlington Community Health Center 979 N Cooper St Arlington TARRANT 100 - - 100 Bowen Pharmacy 2417 W Pleasant Ridge Rd Arlington TARRANT 300 - - 300 Clinicas Mi Doctor - Arlington 941 E Park Row Dr Arlington TARRANT 200 - - 200 Dshs Hsr 2/3 Hq - Arlington (Re) 1301 S Bowen Rd Arlington TARRANT 2,000 - - 2,000 Family Health Clinic Arlington 1115 E Pioneer Pkwy Arlington TARRANT 100 - - 100 Family Healthcare Associates Allen 1105 N Central Expressway Arlington TARRANT 100 - - 100 Family Healthcare Associates N Collins St 4100 N Collins St Ste 200 Arlington TARRANT 100 - - 100 Family Healthcare Associates SW Green Oaks Blvd 1926 SW Green Oaks Blvd Arlington TARRANT 300 - - 300 Mercy Care Pharmacy 801 Road To Six Flags W Ste 122 Arlington TARRANT 100 - - 100 Randol Mill Pharmacy 1014 N Fielder Rd Arlington TARRANT 200 - - 200 Family Healthcare Associates Colleyville 4301 Brown Trl Colleyville TARRANT 100 - - 100 Maxhealth Family, Internal And Sports Medicine 5207 Heritage Ave Colleyville TARRANT 1,400 - - 1,400 Jps Northeast Chc 3200 W Euless Blvd Euless TARRANT 1,000 - - 1,000 Allan R Kelly MD 929 College Ave Fort Worth TARRANT 100 - - 100 Caremore Medical Associates, Pllc 512 W Rosedale St Fort Worth TARRANT 200 - - 200 Clinica Guadalupe 1220 N MAIN ST Fort Worth TARRANT - 1,170 - 1,170 Clinica Mi Doctor #6 229 Ne 28th St Fort Worth TARRANT 200 - - 200 Hope Family Healthcare 4160 Heritage Trace Pkwy Fort Worth TARRANT 100 - - 100 Jps Hospital 1500 South Main St Fort Worth TARRANT - 2,340 - 2,340 Lisa M Buell Md 6250 John Ryan Dr Fort Worth TARRANT 200 - - 200 Md Family Clinic - Fort Worth 1200 Woodhaven Blvd Fort Worth TARRANT 200 - - 200 Metropolitan Area EMS Authority 2900 Alta Mere Drive Fort Worth TARRANT 1,000 - - 1,000 Mi Doctor #7 4200 South Fwy Ste 106 Fort Worth TARRANT 200 - - 200 Pcc Apc Family Medicine 855 Montgomery St Fl 3 Fort Worth TARRANT 500 - - 500 Southside Medical Clinic 544 W SEMINARY DR Fort Worth TARRANT 300 - - 300 Steven D Pedro MD 7833 OAKMONT BLVD Fort Worth TARRANT 100 - - 100 Vpa Of Texas Pllc - Fort Worth 1301 W.7th Street Fort Worth TARRANT 100 - - 100 CareFlite 3110 S Great Southwest Pkwy Grand Prairie TARRANT 200 - - 200 Methodist Family Health Center Lake Prairie 5224 S State Highway 360 Ste 230 Grand Prairie TARRANT 200 - - 200 Red Door Pharmacy And Gifts 2488 Avondale Haslet Rd Haslet TARRANT 100 - - 100 MidCities Pharmacy, Inc. 2000 Precinct Line Rd Hurst TARRANT 100 - - 100 First Keller Healthcare 891 KELLER PKWY STE 101 Keller TARRANT 300 - - 300 Family Healthcare Associates Mansfield 3601 Highway 157 N Mansfield TARRANT 100 - - 100 Methodist Family Health Center Mansfield North 1601 E Debbie Ln Ste 2109 Mansfield TARRANT 200 - - 200 Methodist Mansfield Medical Group 2800 E Broad St Ste 318 Mansfield TARRANT 200 - - 200 Ayman Care PLLC 8208 Bedford Euless Rd North Richland Hil TARRANT - 1,170 - 1,170 Family Healthcare Associates North Richland Hills 7601 Glenview Dr North Richland Hil TARRANT 100 - - 100 Glenview Professional Pharmacy - Richland Hills - 7640 Glenview Driv7640 Glenview Dr Ste A North Richland Hil TARRANT 300 - - 300 North Richland Hills Fire Department 4301 City Point Dr North Richland Hil TARRANT 100 - - 100 Destination Health 900 E Southlake Blvd Southlake Tarrant 200 - - 200 Abilene Christian University Medical Clinic 849 Coliseum Way Abilene TAYLOR 800 - - 800 Texas Department of Criminal Justice ROBERTSON 12071 FM 3522 Abilene TAYLOR 200 - - 200 Thurman's Pro-Med Pharmacy 402 N Madison Ave Mount Pleasant TITUS 200 - - 200 Titus Regional Medical Center 2001 North Jefferson Mount Pleasant TITUS 200 - - 200 La Esperanza Clinic Inc 1610 S Chadbourne St San Angelo TOM GREEN 100 - - 100 San Angelo Health Department 2030 Pulliam St Ste 8 San Angelo TOM GREEN 300 - - 300 Austin Diagnostic Clinic Travel Clinic 12221 N Mopac Expy Austin TRAVIS - 1,170 - 1,170 Austin Medical Associates 2911 Medical Arts St Austin TRAVIS 100 - - 100 Austin Public Health Immunization Program 15 Waller St Fl 3 Austin TRAVIS 300 - - 300 BSW Medical Center Lakeway 100 Medical Pkwy Austin TRAVIS 300 - - 300 Crossover Health Medical Group - Austin 5505 West Parmer Lane Austin TRAVIS 1,000 - - 1,000 East Austin Medicine Shop 1909 E 38 12 ST Austin TRAVIS 200 - - 200 Family Wellness Clinic Ut Austin School Of Nursing 2901 N Interstate 35 Ste 1.301 Austin TRAVIS 200 - - 200 IDEA Public Schools- Austin Region 2800 S IH 35 Frontage Rd Austin TRAVIS - 1,170 - 1,170 Lone Star Circle Of Care At Collinfield 8913 Collinfield Dr Unit 1 Austin TRAVIS 200 - - 200 Lone Star Circle Of Care At El Buen Samaritano 7000 Woodhue Dr Austin TRAVIS 100 - - 100 Lone Star Circle Of Care Ben White 1221 W Ben White Blvd # B100 Austin TRAVIS 100 - - 100 Lscc Fam Care Ctr Nw Fp 11111 Research Blvd Ste 320 Austin TRAVIS 100 - - 100 Red River Family Practice 900 E 30th St Austin TRAVIS - 1,170 - 1,170 Texas Department of Criminal Justice Travis Cty 8101 FM 969 Austin TRAVIS 100 - - 100 Travis County Fire Rescue ESD11 9019 Elroy Road Del Valle TRAVIS 100 - - 100 Lone Star Circle Of Care At Jonestown 18220 Fm 1431 Ste D Leander TRAVIS 100 - - 100 Austin Regional Clinic - Manor 11300 Us Highway 290 E Ste 230 Bldg Manor TRAVIS 500 - - 500 BRC Healthcare Corporation 11503 Parsons Road Manor TRAVIS 100 - - 100 Manor Pharmacy 14008 Shadowglen Blvd Manor TRAVIS 100 - - 100 DSHS CENTRAL PHARMACY WAREHOUSE 1111 NORTH LOOP Austin TRAVIS_state 25,400 23,400 2,400 51,200 Healthpoint Trinity 315 Prospect Dr Trinity TRINITY 200 - - 200 Texas Department of Criminal Justice Lewis 777 FM 3497 Woodville TYLER 100 - - 100 Rankin County Hospital District 1611 Spur 576 Rankin UPTON 100 - - 100 Sabinal Health Clinic 517 N. Center St Sabinal UVALDE 100 - - 100 Umsa Primary Care Rural Health 1195 Garner Field Rd Ste 500 Uvalde UVALDE 100 - - 100 Val Verde County Detention Facility 253 FM 2523 Hamilton Ln Del Rio VAL VERDE 200 - - 200 Christus Trinity Clinic Of Canton 18780 I20 Service Road Canton VAN ZANDT 100 - - 100 Bruce And Human Drug 145 N 4th St Wills Point VAN ZANDT 200 - - 200 Irfan R Qureshi MD PA 2700 Citizens Plz Victoria VICTORIA 300 - - 300 Khiem Vu DO 2700 Citizens Plz Victoria VICTORIA 100 - - 100 Sleep And Family Medicine 202 James Coleman Dr Victoria VICTORIA 200 - - 200 Texas Department of Criminal Justice ELLIS 1697 FM 980 Huntsville WALKER 100 - - 100 Texas Department of Criminal Justice ESTELLE 264 FM 3478 Rd Huntsville WALKER 100 - - 100 La Familia Health Clinic Pllc 1105 Corpus Christi St Laredo WEBB 100 - - 100 Laredo Isd 2001 CEDAR AVE Laredo WEBB 1,200 - - 1,200 United Independent School District 201 Lindenwood Dr Laredo WEBB - 2,340 - 2,340 Midcoast Medical Clinic 305 Sandy Corner Rd Ste 120 El Campo Wharton 100 - - 100 Mehop Wharton 10141 Us 59 Hwy Ste A Wharton WHARTON 100 - - 100 Texas Department of Criminal Justice Allred 2101 FM 369 N Iowa Park WICHITA 500 - - 500 Smith Family Medicine 165 S 6th St Raymondville WILLACY 100 - - 100 Lone Star Circle Of Care At Cedar Park 1401 Medical Pkwy Ste 311 Bldg B Cedar Park WILLIAMSON 100 - - 100 Family Health And Wellness At Lake Aire 2423 Williams Dr Georgetown WILLIAMSON 100 - - 100 Lake Aire Med Ctr Sr Health Wellnes 2423 Williams Dr Ste 113 Georgetown WILLIAMSON 100 - - 100 Baylor Scott White Health MC Round Rock 300 University Blvd Round Rock WILLIAMSON - 1,170 - 1,170 Curative Medical Associates PA 1608 Royston Lane Round Rock WILLIAMSON 1,200 11,700 - 12,900 Lscc Tamu Hlth Science Ctr Family Hlth 3950 N A W Grimes Blvd # 301 Round Rock WILLIAMSON 100 - - 100 Seton Circle Of Care Senior Health 3950 N A W Grimes Blvd # 104 Round Rock WILLIAMSON 100 - - 100 Wcchd Round Rock 355 Texas Ave. Round Rock WILLIAMSON 2,000 - - 2,000 Lone Star Circle Care Taylor Hlth Ctr 601 Mallard Ln Ste A Taylor WILLIAMSON 300 - - 300 Connally Memorial Medical Center 499 10th St Floresville WILSON 200 - - 200 Wise Health System 609 Medical Center Dr Decatur WISE - 1,170 - 1,170 LIFECARE PHARMACY OF DENVER CITY INC 403 MUSTANG DRIVE Denver City YOAKUM 100 - - 100 CCOOVVIIDD--1199 VVAACCCCIINNEESS F FAAQQ Let's Talk about Challenges & Solutions:
From technical issues to combatting hesitancy to being allocated resources, the rollout of the COVID-19 Vaccines (currently Pfizer, Moderna, and J&J) has been rapid and complicated. Our collective goal remains getting our patients and the community protected, but how do we accomplish that with so many barriers? Below is a list of the main challenges we have heard over the last few months, with proposed solutions. In full transparency, some solutions may take time, honest reflection & dialogue, and manual effort. TACHC is here to collaborate with your center, and will continue to do all we can through this process.
Administering COVID-19 Vaccines
Workflow and Process Improvement:
Best Practice Sharing: The Weitzman Institute have sessions available for review, many discussing how health centers and other primary care sites have worked through challenges.
Peer Support: Utilize various TACHC List Servs, participate in ongoing TACHC Open House sessions, and reach out to Clinical Staff members for e-connections to other centers.
Transparent Communication: TACHC Staff continues to receive COVID-19 vaccine reports from DSHS, which highlights sites that have fallen below a 60% administration rate. We will continue to reach out for a clearer picture, and implore you to openly share challenges with us.
Vaccine Hesitancy and Confidence-Building:
The number of resources available can be overwhelming, so here is a Top 5 list from TACHC. 1) Strategies for Building Confidence in the COVID-19 Vaccine from the National Academies of Sciences, Engineering, and Medicine 2) CDC COVID-19 Vaccination Communication Toolkit 3) Kaiser Family Foundation (KFF) Vaccine Monitor Dashboard 4) National Association of Community Health Centers (NACHC) COVID Vaccine Communications Toolkit 5) "Four Steps To Help Achieve COVID-19 Vaccine Adoption" from Health Affairs Blog
Keep Trauma Informed Care principles in mind when engaging in this work: Safety, Trust, Choice, Collaboration, Empowerment, and Cultural, Historical and Gender issues.
Capacity Constraints and Site Regroup:
If any of the following responses resonate with some of your sites, know that there are options. We’re grateful for our allocations, but we have too many vaccines to manage right now. Our site needs to take time to regroup and would like to temporarily pause our vaccinations efforts.
Questions about managing approved vaccine allocations, shipments, or transfers can be reported to the DSHS Vaccines Shipment team at: [email protected]. Reporting COVID-19 Vaccines
Data Input and Reporting:
Make sure to report both the State and Federal vaccines you've administered within 24 hours into ImmTrac and TDEM. For ImmTrac, there are two ways this occurs. Option 1: ImmTrac2 Online (Web Browser) Option 2: Data Exchange (FTP or Bi-Directional data transfer likely using an EMR/EHR)
Support is Available: If you report via ImmTrac2 Online and need assistance with manual data entry, the Texas Military Department (TMD) can help! Contact 1-844-90-TEXAS immediately.
System Challenges and Interoperability:
Challenges will arise and may take time to resolve, but continue to reach out to DSHS for support.
ImmTrac2 Training: Reference guides, video tutorials, and webinars are available here. Questions or issues about using ImmTrac2 Online (Option 1) can be reported to: [email protected] Questions or issues about using ImmTrac2 Data Exchange (Option 2) can be reported to: [email protected] Questions or issues about using TDEM can be reported to: [email protected] or 844-908-3927
Need for DSHS Communication and Technical Assistance:
There are several opportunities to hear directly from DSHS Staff about updates and best practices.
COVID-19 Provider Webinars: Tuesday webinars: for providers currently receiving vaccines and actively administering. Thursday webinars: for new providers and/or those who haven't yet received vaccine allocations. Register for the 2x weekly webinars by emailing [email protected].
Review the resources on the COVID-19 Vaccine Management Resources site, including: Vaccination Toolkits: Audience-specific toolkits that help providers educate patients and answer common questions (e.g. storage and handling). Provider FAQs: Answers to commonly asked questions for vaccination providers in Texas. VAOS Resources: Information on using VAOS to request vaccine allocations and transfers.
For other challenges or concerns:
1) Learn More... 2) Reach Out... 3) Speak Up... Visit the TACHC website; We know that new concerns arise TACHC can communicate every day. Please connect with our specific questions and Read Dr. Roxana Cruz's team and we can help you navigate concerns, but only if you tell us. Weekly Vaccine Update more complicated situations. Email Newsletters; Dr. Roxana Cruz, Director of Medical & Make sure to provide ongoing Clinical Affairs: [email protected] feedback to TACHC via this Login for the weekly DSHS survey link here. COVID-19 Conference Call Christina Brito Tigerina, Clinical Care (1-800-289-0462 Passcode: & Emergency Management Coordinator: [email protected] 818884) Aniela Brown, Vaccine Clinical Coordinator: [email protected] Safety Checklist: Administration of Monoclonal Antibody Therapy for the Treatment of COVID-19 in Nonhospitalized Patients
Published: April 16, 2021
Important Notes
COVID-19 response continues to evolve rapidly. The content provided here is based on information available at the time of publishing. Consult with local, state, and federal public health officials regularly for the most recent guidance. Also refer to Q & A: Monoclonal Antibody Therapy for the Treatment of COVID-19 in Nonhospitalized Patients. The general safety guidance in this checklist applies to the currently authorized monoclonal antibodies (mAbs); however, clinical recommendations on treatments for COVID-19 can change quickly. Always refer directly to the U.S. Food and Drug Administration (FDA) and/or the relevant pharmaceutical manufacturers for safety updates and guidance on preparation and administration of mAbs or any new therapy. Authorized mAbs for the treatment of COVID-19 are precisely designed to target specific regions of the SARS-CoV-2 virus to fight infection. Viral mutations such as emerging SARS- CoV-2 variants pose a risk of treatment failure if a patient infected with a viral variant is administered a monoclonal antibody resistant to the particular variant. Responding to COVID-19 requires vigilant attention to constantly evolving clinical information. For example, the recent emergence of SARS-CoV-2 variants has already impacted what is known about both the risks and efficacy of new mAbs and other therapeutics being developed and used to prevent and treat COVID-19.
The FDA has issued several Emergency Use Authorizations (EUAs) for investigational mAb therapies to treat nonhospitalized patients with mild to moderate COVID-19 who are at high risk for severe COVID-19 and/or hospitalization. Early clinical trial evidence suggests promise for use of mAb products in outpatient settings. Monoclonal antibodies show potential to decrease the amount of SARS-CoV-2 in the body, which may lead to milder COVID-19 symptoms, reduction in hospitalizations and medical visits, and a faster recovery. While potentially beneficial, these treatments are still being studied; clinical data about their efficacy are limited, and infusion-related reactions have been observed. Reactions may be severe, life threatening, or unexpected. Administration of mAbs in outpatient settings that are not experienced with IV infusions can present significant patient safety and logistical workflow challenges. Careful advance preparation is essential, including staff training, dedicated space, monitoring, and necessary resources. Healthcare providers
5200 Butler Pike, Plymouth Meeting, PA 19462 t +1 610 825 6000 | f +1 610 834 1275 | e [email protected] | w www.ecri.org can use this checklist to assess whether providing mAb therapy is appropriate for their organization, and if so, how to use best practices to implement mAb infusion as safely as possible.
Maintain Vigilance Regarding the Impact of Viral Variants ☐ Refer to the Center for Disease Control and Prevention’s (CDC) website on variant proportions in the U.S. ☐ Consider the prevalence of mAb resistant variants in your area, where data are available, when considering treatment options, as well as referring to the most current versions of mAb fact sheets
☐ Review information from federal, state, and local health authorities regarding reports of viral variants of significance in your region to guide treatment decisions
Establish Organizational Policies and Procedures for Implementation and Recommended Workflow ☐ Consider partnering with or referring patients to established infusion sites to effectively manage this service and respond to emergencies as needed Organizations that do not have on-site capabilities may be able to partner with local hospitals or community infusion centers to provide treatment through the Special Projects for Equitable and Efficient Distribution (SPEED) of COVID-19 Outpatient Therapeutics program ☐ Evaluate the commitment level of the board, executive leadership, providers, managers, and clinicians to determine whether there is adequate buy-in to implement an infusion program
☐ Review HRSA guidance for health centers that are considering mAb infusion, including: HRSA's Considerations for Health Center Scope of Project and the COVID-19 Public Health Emergency HRSA's COVID-19 Frequently Asked Questions ☐ Approve products for use by the organization's pharmacy and therapeutics committee (or equivalent committee) ☐ Contact state and local health departments to help coordinate services, including the procurement, distribution, and allocation of mAbs
☐ Implement a screening and referral process for eligible patients and consider best practices for infusion referrals. The following resources may also be helpful: The National Infusion Center Association's (NICA) COVID-19 Antibody Therapy Indication Checklist and the COVID-19 Antibody Therapy Referral Checklist The Minnesota Department of Health's Screening Tool for Monoclonal Antibody Treatment
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Kent Hospital's (Warwick, RI) Community Referral for Monoclonal Antibody Treatment for SARS-CoV-2
☐ Ensure patient privacy is maintained as required by the Health Insurance Portability and Accountability Act (HIPAA) ☐ Provide patients with information on treatment options for COVID-19 and explain the EUA status of mAb therapy
☐ Create a process for obtaining informed consent or refusal for treatment. Emergency use authorization requires that the healthcare provider must, at a minimum, provide a copy of and communicate with the patient or parent/caregiver, as age appropriate, information consistent with the respective drug manufacturer’s fact sheets available from FDA.
☐ Develop a standardized order set that is reviewed and updated regularly
☐ Develop a staffing plan that includes recommendations such as: Licensed pharmacist or pharmacy technician trained in IV preparation On-site independent practitioner with Advanced Cardiovascular Life Support (ACLS) certification (two clinicians with ACLS certification is strongly encouraged) and IV infusion expertise to oversee the program and manage emergencies such as anaphylaxis Clinical staff with Basic Life Support (BLS) certification such as a registered nurse (RN), licensed practical nurse (LPN), or licensed paramedic who is skilled in initiating IVs, administering IV medications, and recognizing and responding effectively to infusion reactions and complications related to IV therapy A designated staff member (RN or LPN) who will monitor vital signs (including blood pressure, oxygen saturation, temperature, and heart rate) every 15 minutes and document in patient record Each infusion appointment requires one hour for the infusion and another hour for observation
☐ Follow manufacturer-specific instructions for preparation (including dedicated preparation area), administration, storage, and workflow recommendations ☐ Implement a process for inventory management including appropriate documentation of lot numbers, quantity, receiving site, receipt date, and product storage
☐ Refer to the HRSA Coronavirus-Related Funding FAQs and the NICA Coding Guide for coding, billing, and reimbursement information
☐ Implement a plan for patient follow-up (e.g., post-infusion phone calls and/or telemedicine visit) and provide patients with health center contact information to report any adverse reactions. The following resources may assist with suggested postinfusion follow-up:
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COVID mAb Infusion Pathway (see pp. 5-11 for suggested language for postinfusion follow-up communications) Suggested schedule of follow-up calls
Follow Infection Control and Prevention Guidelines Related to the SARS-CoV-2 Virus ☐ Refer to current CDC guidelines for infection control practices in the outpatient setting during the COVID-19 pandemic ☐ Provide a safe environment of care by implementing interventions such as: A clear process for patients and caregivers who are coming to the health center or clinical site An admissions process for COVID-19-positive patients designed to minimize the risk of transmission (e.g., escort patient directly to the infusion area) A dedicated room and patient isolation area for treatment and postinfusion monitoring Recommended personal protective equipment (PPE): gloves, gowns, eye and face protection (e.g., goggles, safety glasses, face shields), National Institute for Occupational Safety and Health (NIOSH)-certified disposable N95 or higher filtering masks. Handwashing stations that include sinks, soap, and alcohol-based hand sanitizer Recommended procedures for cleaning and disinfection of the infusion area Use only products with Environmental Protection Agency (EPA)-approved pathogens claims recommended for use against COVID-19
☐ Consider this sample plan addressing physical setup and other logistics for a mAb infusion site
Provide Staff with Competency and Skill Training for Infusion Therapy ☐ Partner with outside infusion centers for training
☐ Designate a facility mAb infusion champion to serve as central point of contact and key resource for training and clinical implementation ☐ Adhere to the NICA minimum standards for in-office infusion, consistent with local laws, regulations, guidelines, and policies
☐ Access the publicly available training course on mAb administration, endorsed by the U.S. Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) (available free with registration)
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☐ Ensure that competency and skill training includes patient screening, scheduling, peripheral IV insertion, medication preparation and administration, documentation, post-infusion observation, and discharge Refer to NICA's Key Points for Preparation and Administration for parenteral medications, the CDC's One & Only Campaign, and the Ask ECRI: The Many "Rights" of Medication Administration to reinforce medication safety Document properly using an antibody administration flow sheet
☐ Refer to state-specific scope-of-practice laws for ordering and administration
☐ Consider assigning a care coordinator to maintain scheduling
☐ Ensure access to the patient's record during mAb administration, including medical history, current medications, allergies, and emergency contacts
☐ Refer to the most recent information from the FDA and/or the relevant pharmaceutical manufacturers (currently Lilly and Regeneron) for safety updates and instructions related to mAb preparation and administration
☐ Use aseptic technique during medication preparation ☐ Consider pharmacy supervision for mAb preparation and for keeping clinicians up to date on current ordering guidelines Refer to this checklist for setting up a medication preparation area
Secure Necessary Space, Equipment, and Supplies ☐ Verify necessary equipment is available and functioning in the health center, including: Comfortable patient chairs Adequate privacy for patient comfort and HIPAA compliance (e.g., privacy screens) Clear sightlines to monitor patients who are receiving infusions Vital sign monitoring equipment for each patient Emergency call bells within reach for each patient Computer or mobile device in room, with access to patient record, including medical history, current medications, allergies, and emergency contacts Access to telephone to activate emergency medical services (EMS) IV pumps and poles, administration sets and tubing, and other associated supplies (e.g., IV start kits, catheters, alcohol wipes, saline flushes, adhesive bandage dressings, gauze, tape) o Note: While not required under the mAb EUAs, IV pumps are the safest way to administer IV drug infusions. If opting for gravity infusion, use of a rate-control or infusion-rate-monitoring Page 5 of 8 Proprietary and Confidential.
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device or tubing with an integrated rate-flow regulator is recommended. Also see NICA's Drip Rate Tables for Infusions by Gravity Sharps containers and disposal bins for biohazards and medical waste ☐ Create a schedule to ensure equipment and supplies are checked regularly
Develop a Protocol for Post-Infusion Observation ☐ Educate patients and caregivers regarding the rationale for post-infusion observation
☐ Continue to monitor for potential infusion-related reactions such as flushing, itching, shortness of breath, low blood pressure or anaphylaxis (rare), as well side effects of receiving IV medication, including pain, soreness, or bruising around the IV site ☐ Provide appropriate discharge instructions to patients and caregivers
☐ Ensure patients have safe transportation upon discharge
Implement a Plan for Medical Emergency Response ☐ Maintain the ability to monitor and act upon anaphylaxis and other adverse events
☐ Provide immediate access to emergency medical equipment (e.g., crash cart, oxygen and oxygen delivery devices, and backboard) and medications to treat a severe infusion reaction. Such equipment and medications may include, but are not limited to, epinephrine, albuterol inhalers, diphenhydramine injections, IV steroids and antihypertensives, and 0.9% sodium chloride flush and bags. (See Infusion Units for COVID-19 Antibody Treatment: Operations Guide, p. 29) ☐ Activate EMS immediately, as necessary
☐ Follow general guidance for managing office medical emergencies (e.g., conduct medical emergency drills prior to initiating mAb therapy)
Comply with Reporting and Other Regulatory Requirements ☐ Follow established internal organizational mechanisms for tracking and reporting of serious adverse events
☐ Ensure those administering mAbs have access to and an understanding of how to complete an FDA Medwatch Event Report (providers can complete and submit the report online)
☐ Healthcare facilities and providers must report therapeutics information and utilization data through HHS Protect, the TeleTracking portal, or the National Healthcare Safety Network (NHSN) as directed by HHS. See, for example, ASPR's Process for Tracking Utilization of COVID-19 Therapeutics
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☐ Encourage voluntary reporting of medication errors to the Institute for Safe Medication Practices (an ECRI affiliate) ☐ Be aware of state or local processes for tracking or reporting outcomes, such as the Michigan Department of Health and Human Services' Monoclonal Antibody Therapy—Follow-Up Report of Admission or Death Worksheet
Resources Centers for Disease Control and Prevention: COVID-19 Vaccine Emergency Use Authorization (EUA) Fact Sheets for Recipients and Caregivers. 2021 Jan 21. https://www.cdc.gov/vaccines/covid-19/eua/index.html Interim clinical guidance for management of patients with confirmed coronavirus disease (COVID-19). 2021 Feb 16. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance- management-patients.html Centers for Medicare and Medicaid Services. Monoclonal antibody COVID-19 infusion. 2021 Mar 1. https://www.cms.gov/medicare/covid-19/monoclonal-antibody-covid-19-infusion Infectious Diseases Society of America. Monoclonal antibodies. 2021 Feb 17. https://www.idsociety.org/covid-19-real-time-learning-network/therapeutics-and- interventions/monoclonal-antibodies/ The National Academies Press. Rapid expert consultation on allocating COVID-19 monoclonal antibody therapies and other novel therapeutics. 2021 Jan 29. https://www.nap.edu/catalog/26063/rapid-expert- consultation-on-allocating-covid-19-monoclonal-antibody-therapies-and-other-novel-therapeutics- january-29-2021 National Infusion Center Association. COVID-19 antibody treatment FAQs: infusion providers. 2021. https://infusioncenter.org/covid-19-antibody-treatment-faqs/#1478549510399-db248030-80cb National Institutes of Health. Anti-SARS-CoV-2 monoclonal antibodies. 2021 Feb 11. https://www.covid19treatmentguidelines.nih.gov/anti-sars-cov-2-antibody-products/anti-sars-cov-2- monoclonal-antibodies/ Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services: Monoclonal antibody treatment for high risk Covid-19 positive patients: a treatment guide for health care providers. https://www.phe.gov/emergency/events/COVID19/investigation- MCM/Documents/COVID19_mAb_Factsheet_Provider.pdf Planning considerations for monoclonal antibody administration. 2021 Feb 10. https://files.asprtracie.hhs.gov/documents/aspr-tracie-covid-19-monoclonal-antibody-therapy-tip- sheet.pdf
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The University of New Mexico. Project ECHO: outpatient therapeutics mini-series. https://hsc.unm.edu/echo/institute-programs/covid-19-response/us-covid19/hhs-aspr/miniseries.html U.S. Food and Drug Administration. Coronavirus (COVID-19) update: FDA authorizes monoclonal antibodies for treatment of COVID-19 [news release]. 2021 Feb 9. https://www.fda.gov/news- events/press-announcements/coronavirus-covid-19-update-fda-authorizes-monoclonal-antibodies- treatment-covid-19-0 U.S. Department of Health and Human Services: Provider's guide to COVID-19 treatment options. https://combatcovid.hhs.gov/im-healthcare- provider/providers-guide-covid-19-treatment Therapeutics: monoclonal antibody playbook. Outpatient administration playbook version 2.2. 2021 Feb 1. https://www.phe.gov/emergency/events/COVID19/investigation- MCM/Documents/COVID-Therapeutics-playbook_1Feb2021.pdf
All policies, procedures, and forms published are intended not as models, but rather as samples for illustration purposes only. The content contained does not constitute legal advice. Healthcare laws, standards, and requirements change at a rapid pace, and thus, the sample policies may not meet current requirements. ECRI urges all members to consult with their legal counsel regarding the adequacy of policies, procedures, and forms.
DISCLAIMER Information provided by ECRI is not intended to be viewed as required by ECRI or the Health Resources and Services Administration, nor should these materials be viewed as reflecting the legal standard of care. Further, these materials should not be construed as dictating an exclusive course of treatment or procedure. Practice by providers varies, including based on the needs of the individual patient and limitations unique to the institution or type of practice. All organizations should consult with their clinical staff and other experts for specific guidance and with their legal counsel, as circumstances warrant
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What Providers Need to Know About COVID-19 Vaccine Fees and Reimbursements
COVID-19 vaccines are 100% free to all individuals in the U.S. Only insurance companies or the federal government can be billed for vaccine administration fees, not patients.
While providers participating in the HRSA COVID-19 Uninsured Program are required to request patient information to help verify an individual’s uninsured status—including Social Security Number and, if unavailable, a driver’s license/state ID number—this information is not required for an individual to get vaccinated.
Key Responsibilities for Organizations and Providers Administering COVID-19 Vaccine: • Must administer COVID-19 vaccine regardless of the patient’s ability to pay vaccine administration fees or their health insurance coverage status
• May not charge an office visit fee or other fee if COVID-19 vaccination is the sole medical service provided
• May not require patients seek additional medical services to receive COVID-19 vaccination
• May seek reimbursement from a program or plan that covers COVID-19 vaccine administration fees for the patient, such as a patient’s private insurance company, Medicare, Medicaid, or the federal government’s COVID-19 Uninsured Program
• May not seek any reimbursement, including through balance billing, from vaccine recipients.
Key Facts on Reimbursement for COVID-19 Services Rendered to Uninsured Patients: • The Health Resources and Services Administration (HRSA) COVID-19 Uninsured Program is a voluntary federal program that reimburses providers for vaccine administration fees associated with uninsured individuals, as well as COVID-19 related testing and treatment for uninsured individuals, regardless of their immigration status.
• If seeking reimbursement from the HRSA COVID-19 Uninsured Program, providers are required to request certain information from the patient, including a Social Security Number and, if unavailable, a driver’s license/state ID number, solely to check if the patient has other health insurance o Patients are NOT required to provide this information o Providers will still be reimbursed for eligible claims if they attest that they asked for this information, but it was not made available
• When requesting the patient’s Social Security Number and other personal information, participating providers should remind patients that: o Everyone can receive COVID-19 services, regardless of immigration status o The information will be used for reimbursement purposes only o The information will not be shared with immigration authorities o No one will be turned away if they don’t provide this information o Testing, treatment or vaccinations paid for by the federal government will not impact anyone’s current or future immigration status
• Providers should tell uninsured patients they will not be billed for COVID-19 vaccine services. Providers who bill patients for COVID-19 vaccination fees may be reported to the HHS Office of Inspector General, including those participating in the HRSA COVID-19 Uninsured Program