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H1N1 (Swine Flu) Vaccine Supply and Distribution

The H1N1 vaccine is available and being shipped to public and private health care providers. Although there will be enough vaccine for everyone, supplies will be limited initially.

• Licensed health care providers interested in enrolling in the H1N1 Vaccine Program to administer publicly-supplied H1N1 vaccine should contact their local health agency for more information.
• For general information about H1N1 (swine flu), visit the Department of Health H1N1 (Swine Flu) Web page.
• For seasonal flu information, visit the Seasonal Flu News Web page.

Guidelines for the Use of Publicly-Supplied H1N1 Vaccine

• H1N1 Vaccine Management Guidelines Checklist (PDF, 41 KB) Sept. 16, 2009. A one-page summary of guidelines for participating in the H1N1 Vaccine Program.
• H1N1 Vaccine Management Guidelines (PDF, 92 KB) Updated Nov. 20, 2009. Complete guidelines for participating in the H1N1 Vaccine Program.
• Provider Agreement Requirements for Receipt of H1N1 Influenza Vaccine 2009-2010 (PDF, 25 KB) Oct. 1, 2009. Requirements from the H1N1 Provider Agreement. Contact your local health agency for a copy of the agreement form.

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Inventory and Doses Administered Reporting Guidelines

• H1N1 Guidelines for Inventory and Doses Administered Reporting (PDF, 49 KB) Nov. 20, 2009. These guidelines describe inventory management tracking, methods and tools for capturing doses administered, and options for weekly aggregate doses administered reporting.
• Brief Instructions for weekly reporting on the number of H1N1 doses administered (PDF, 36 KB)
• Options for using the CHILD Profile Immunization Registry for recording and reporting on H1N1 vaccine doses administered (PDF, 19 KB) Nov. 20, 2009

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Inventory and Doses Administered Reporting Tools and Forms

• Online H1N1 Aggregate Doses Reporting. Link to the online tool to report required weekly number of H1N1 doses administered.
• H1N1 Daily Vaccine Doses Administered Hash Mark Log (Excel, 55 KB) Nov. 20, 2009. A paper tool to record each dose of H1N1 vaccine administered daily by simply putting a hash mark through each number on the form under the appropriate age category. At the end of the week, the doses marked off on the sheet can be counted and used to calculate weekly totals for reporting.
• Weekly Summary Report for H1N1 Doses Administered (Excel, 104 KB) Nov. 20, 2009. A tool to capture summary data from H1N1 Daily Doses Administered Log, or a provider-owned information system, and used to complete weekly doses administered reports.
• Providers Monthly Report of H1N1 Vaccine Usage (Excel, 52 KB) Nov. 20, 2009. A tool to support local health and providers in monitoring their H1N1 vaccine inventory and use, meeting audit requirements, and guarding against vaccine fraud and abuse. Local health agencies do not have to aggregate these reports and submit them to the Department of Health.

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Additional Tools for Providers

• Provider Request for H1N1 Influenza Vaccine (Word, 99 KB) Oct. 30, 2009. Order form to request publicly supplied H1N1 vaccine from local health jurisdiction.
• Provider Report of Unused or Non-Viable Vaccine (Word, 124 KB) Dec. 14, 2009. A form to report the number of doses and lot numbers of all H1N1 (swine flu) vaccine doses that become unusable or non-viable.
• Vaccine Adverse Event Reporting System--What Health Care Providers Need to Know (PDF, 32 KB)
• Frequently Asked Questions About H1N1 Vaccine for Health Care Providers
• Washington H1N1 Vaccine Administration Fee Matrix (PDF, 51 KB) Nov. 20, 2009. Updated H1N1 vaccine administration fee matrix that includes "G” Codes. These are the billing codes that CMS-supported programs are requiring (Medicare and Medicaid). They will not accept CPT codes for billing for administration of H1N1 vaccine.
• The Centers for Medicare and Medicaid Free Care Rule and Third Party Billing Policy (PDF, 24 KB)
• H1N1 Vaccine Administration Billing Q&As
• Health Screening Questionnaire for H1N1 (Swine Flu) Vaccine
  • English (PDF, 97 KB)
  • Spanish (PDF, 137 KB)
• H1N1 Vaccine Information Statements
• For information on suspension of mercury limits in H1N1 (swine flu) vaccine, visit the H1N1 (Swine Flu) Vaccine Mercury Suspension Web page.
• H1N1 (Swine Flu) Vaccine and the Public Readiness and Preparedness (PREP) Act: What health care providers need to know (PDF, 42 KB) Sept. 2009
• Fundamentals of Influenza Vaccine Administration, Storage, and Handling

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Additional H1N1 Vaccine Supply and Distribution Resources

• Recent Communications to Local Health Jurisdictions About H1N1 (Swine Flu) Vaccine (Department of Health)
• H1N1 Tools, Resources, and Information for and about Health Care and Public Health Professionals (Department of Health)
• 2009 H1N1 Flu (Swine Flu) (Centers for Disease Control and Prevention)
• Standing Orders for Administering Influenza A (H1N1) 2009 Monovalent Vaccines (Immunization Action Coalition)
• Pandemic 2009 H1N1 Influenza Vaccination Clinic: Vaccine Administration Record (Massachusetts Department of Public Health)
• FDA Approval of 2009 Novel H1N1 Vaccine: Summary (Association of State and Territorial Health Officials)

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Last Update: 12/15/2009 01:40 PM