Provider Vaccine Agreement Sample Contracts

Subject: 2013 Maine Immunization Program Provider Vaccine Agreement Date: December 4, 2012
Provider Vaccine Agreement • December 4th, 2012

Providers enrolled in the Maine Immunization Program are required to submit an annual provider agreement. The Provider Agreement will be available on ImmPact beginning December 3, 2012. Providers who have not submitted an agreement prior to December 31, 2012 will be suspended from ordering vaccines until an agreement has been received and approved.

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Subject: 2015 Maine Immunization Program Provider Vaccine Agreement Date: December 18, 2014
Provider Vaccine Agreement • December 18th, 2014

Providers enrolled in the Maine Immunization Program are required to submit an annual provider agreement. The Provider Agreement will be available on ImmPact beginning December 17, 2014. Providers who have not submitted an agreement prior to December 31, 2014 will be suspended from ordering vaccines until an agreement has been received and approved.

Subject: 2017 Maine Immunization Program Provider Vaccine Agreement Date: December 8, 2016
Provider Vaccine Agreement • December 10th, 2015

Providers enrolled in the Maine Immunization Program are required to submit an annual provider agreement. The Provider Agreement is now available in ImmPact. Providers who have not submitted a 2017 Provider Agreement prior to December 31, 2016 will be suspended from ordering vaccines until an agreement has been submitted and approved. Sites participating in an interface should also be aware that as of January 1, 2017 administered doses will not decrement from inventory until 2017 Provider Agreement is approved.

Subject: 2018 Maine Immunization Program Provider Vaccine Agreement Date: December 1, 2017
Provider Vaccine Agreement • January 12th, 2018

Providers enrolled in the Maine Immunization Program are required to submit an annual Provider Agreement. The Provider Agreement is now available in ImmPact. Providers who have not submitted a 2018 Provider Agreement prior to December 31, 2017 will be suspended from ordering vaccines until an agreement has been submitted and approved. Sites participating in an interface should also be aware that as of January 1, 2018 administered doses will not decrement from inventory until the 2018 Provider Agreement is in an approved status.

Subject: 2016 Maine Immunization Program Provider Vaccine Agreement Date: December 10, 2015
Provider Vaccine Agreement • December 10th, 2015 • Maine

Providers enrolled in the Maine Immunization Program are required to submit an annual provider agreement. The Provider Agreement will be available on ImmPact December 11, 2015. Providers who have not submitted a 2016 Provider Agreement prior to December 31, 2015 will be suspended from ordering vaccines until an agreement has been submitted and approved. Sites participating in an interface should also be aware administered doses will not decrement from inventory until 2016 Provider Agreement is approved.

Subject: 2014 Maine Immunization Program Provider Vaccine Agreement Date: December 18, 2013
Provider Vaccine Agreement • December 18th, 2013

Providers enrolled in the Maine Immunization Program are required to submit an annual provider agreement. The Provider Agreement will be available on ImmPact beginning December 18, 2013. Providers who have not submitted an agreement prior to December 31, 2013 will be suspended from ordering vaccines until an agreement has been received and approved.

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