Subject: ARRA Vaccine Purchase Program - Second Enrollment Period
Date: 6/3/2010; 14:42:00
Message#: 101636-6-3-2010-PHUP
Contact Info: Vaccine Preventable Disease Program, NJ Department of Health and Senior Services
Phone: 609-826-4860; Email:
VFC@doh.state.nj.usAttachments: None
The New Jersey Department of Health and Senior Services, Vaccine Preventable Disease (VPD) Program is announcing a second enrollment opportunity in the American Recovery and Reinvestment Act (ARRA) Vaccine Program. This second enrollment period will open at 8 AM June 8, 2010 to June 10, 2010, 5 PM for enrollment of providers who wish to participate. Enrollment is open to all medical providers who can utilize vaccines available through this ARRA initiative. There are up to three hundred (300) provider openings available, and providers who submit completed enrollment documents will be eligible for participation. Enrollment will end when we reach that number, insuring representation from each county in the state. See statements below for complete information.
The VPD Program received $7,438,204 in a 2009 stimulus fund award. To achieve the greatest benefit for the citizens of NJ, the VPD Program has utilized the funds to purchase 102,000 doses of vaccine that can be administered to any child, adolescent or adult regardless of insurance or non-insurance status. The only exception applies to individuals who are eligible to receive NJ Vaccines For Children (VFC) Program vaccine: these children must continue to be vaccinated with the vaccines provided by the VFC Program.
The eight (8) vaccines that will be available under ARRA program are: Gardasil, Cervarix (HPV), Pneumovax 23 (Pneumococcal Conjugate), Prevnar 13, Adacel (TDaP), Boostrix (TDaP), Menactra, and Menveo (Meningococcal).
If you are interested in taking advantage of this significant opportunity to raise the immunization coverage levels in New Jersey, visit www.njiis.nj.gov to obtain the enrollment forms for the program(s) of your choice. Click on VFC Vaccines For Children and look for the two page ARRA Vaccine Program Forms.
For NJ VFC ARRA Children’s Program (age birth to 18 years old), complete and submit:
• Provider Enrollment (Form 1)
• Provider Profile (Form 2)
• Additional Enrollment for Others Providers Within the Practice (IMM-26A) (if needed)
• Include a brief statement on your office’s letterhead indicating that you want to utilize your facility to receive and administer immunizations to any child who is not eligible to receive VFC vaccine and is requesting it, by using ARRA fund purchased vaccines.
For NJ VFC ARRA Adult Program (age 19 and up), complete and submit:
• Provider Profile Adults (Form 1)
• Provider Profile (Form 2)
• Additional Enrollment for Other Providers Within the Practice (IMM-26A) (if needed)
• Include a brief statement on your office's letterhead indicating that you want to utilize your facility to receive and administer immunizations to any adult that requests it, including health care workers, using ARRA fund purchased vaccines.
Submit the completed forms by fax to (609) 826-4868. DO NOT mail a copy of the forms as this will delay the review of your enrollment documents. Currently enrolled NJ VFC providers who wish to participate must also enroll in the ARRA program and be in full compliance with existing NJ VFC Program requirements. Upon receipt your application will be numbered, reviewed for completeness, and posted on the internal master index. You will receive a call from the NJ VFC Program to verify your facilities’ vaccine storage and handling capabilities.
All providers have the responsibility to account for each dose of vaccine received and used under ARRA. Failure to adhere to vaccine accountability requirements will result in disenrollment from the ARRA-funded vaccine program. All vaccine doses that are administered must be entered into the New Jersey Immunization Information System (NJIIS) or your practice management system for upload to the NJIIS prior to placing subsequent orders for vaccine. On-line training will be available for those who are not familiar with entering patient vaccination information into the NJIIS. Information regarding how to sign up for the training will be provided via email at the email address on your enrollment documents.
The program will end when all of the purchased vaccines have been distributed or by midnight August 31, 2010, which ever occurs first, unless additional funding is provided to continue the program.
If you should have questions you may contact the VPD Program at 609-826-4861 Monday through Friday 8:30 AM - 4:30 PM for assistance.
Thank you for your interest in helping to immunize those in NJ who otherwise would be unable to receive these disease-preventing vaccines.
This information has been distributed to: DHSS Senior Staff; DHSS Staff; LINCS Coordinator Backups; LINCS Coordinators; LINCS Health Officer Assistants; LINCS Health Officers; LINCS Public Health Nurses; LOCAL Health Officers; DHSS Program Staff
Further distribution of this message should be directed to: Health Care Facilities / Other; Health Care Providers; Hospital CEOs; Hospital Emerg Preparedness Coords; Hospital ER Medical Directors; Hospital Infection Control Practitioners; Hospital Medical Directors; Hospital Nursing Directors; Hospital Security Directors; Hospitals / Other; and other partners in your region, as appropriate.
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