COVID-19 VACCINATION PROGRAM PROVIDER AGREEMENT FREQUENTLY ASKED QUESTIONS (FAQs)Covid-19 Vaccination Program Provider Agreement • May 17th, 2021
Contract Type FiledMay 17th, 2021
COVID-19 VACCINATION PROGRAM PROVIDER AGREEMENT INSTRUCTIONSCovid-19 Vaccination Program Provider Agreement • November 17th, 2020
Contract Type FiledNovember 17th, 2020The COVID-19 Vaccination Program Provider Agreement is required to be completed by any provider receiving and administering COVID-19 vaccine. All components of the Provider Agreement and Profile should be completed and submitted to MSDH based on the following instructions.
COVID-19 Vaccine Provider Agreement - REDCap Survey Frequently Asked Questions (FAQ) October 19, 2020Covid-19 Vaccination Program Provider Agreement • April 15th, 2023
Contract Type FiledApril 15th, 2023
COVID-19Covid-19 Vaccination Program Provider Agreement • December 10th, 2020
Contract Type FiledDecember 10th, 2020 Complete CDC COVID-19 Vaccination Program Provider Agreement on the PA DOH website: https://expressforms.pa.gov/apps/pa/DOH/CDC-COVID- 19Vaccination-Provider-Agreement
COVID-19 VACCINATION PROGRAM PROVIDER AGREEMENT FREQUENTLY ASKED QUESTIONS (FAQs)Covid-19 Vaccination Program Provider Agreement • November 1st, 2020
Contract Type FiledNovember 1st, 2020
COVID-19 Vaccination Program Provider AgreementCovid-19 Vaccination Program Provider Agreement • September 8th, 2021 • Iowa
Contract Type FiledSeptember 8th, 2021 Jurisdiction● COVID-19 Vaccination Program Provider Agreement - To receive and administer COVID-19 vaccine and ancillary supplies, vaccination providers must enroll in the U.S. Government (USG) COVID-19 vaccination program by signing and agreeing to conditions outlined in the COVID-19 Vaccination Program Provider Agreement.
COVID-19 Vaccination Program Provider AgreementCovid-19 Vaccination Program Provider Agreement • November 30th, 2020 • Iowa
Contract Type FiledNovember 30th, 2020 Jurisdiction● COVID-19 Vaccination Program Provider Agreement - To receive and administer COVID-19 vaccine and ancillary supplies, vaccination providers must enroll in the U.S. Government (USG) COVID-19 vaccination program by signing and agreeing to conditions outlined in the COVID-19 Vaccination Program Provider Agreement.
Preparing to Enroll in the COVID-19 Vaccination ProgramCovid-19 Vaccination Program Provider Agreement • March 29th, 2021
Contract Type FiledMarch 29th, 2021Before enrolling in the COVID-19 Vaccination Program, you should review the provider agreement package from the Centers for Disease Control and Prevention (CDC) and gather information about your clinic. The package includes two parts:
COVID-19Covid-19 Vaccination Program Provider Agreement • December 16th, 2020
Contract Type FiledDecember 16th, 2020 Complete CDC COVID-19 Vaccination Program Provider Agreement on the PA DOH website: https://expressforms.pa.gov/apps/pa/DOH/CDC-COVID- 19Vaccination-Provider-Agreement
COVID-19 Vaccination Program Provider Agreement Frequently Asked Questions (FAQs)Covid-19 Vaccination Program Provider Agreement • November 10th, 2020
Contract Type FiledNovember 10th, 2020