Current through Register No. 40, October 3, 2024
(a) Health care
providers requesting pharmaceutical agents from the department shall make such
requests via the online Vaccine Ordering Management System (VOMS) provided by
the department at least 7 days prior to the desired delivery date. The
department shall provide VOMS enrollment information upon request.
(b) Requestors pursuant to (a) above shall
provide the following information via VOMS:
(1) The name of the physician, practice, or
facility;
(2) The provider's number
provided by the department's immunization program;
(3) The address of the practice or
provider;
(4) The person
responsible for ordering pharmaceutical agents;
(5) The phone number of the person named in
(4) above; and
(6) The type and
number of doses of pharmaceutical agents being ordered.
(c) Health care providers obtaining
pharmaceutical agents from the department shall ensure proper storage and
handling to prevent deterioration, in compliance with the requirements of RSA
318. All pharmaceutical agents shall be stored in accordance with the
manufacturer's instructions that accompany each shipment of pharmaceutical
agents. Providers shall be responsible for replacement of pharmaceutical agents
if loss occurs due to the facility's negligent storage or handling
procedures.
(d) Health care
providers receiving vaccines from the department shall inform the recipients of
such vaccines of their benefits and risks, in accordance with 42 CFR 110,
vaccine information materials.
(e)
Health care providers who wish to order state-supplied vaccines shall complete,
on an annual basis, the vaccine provider's immunization certification form on
which the provider certifies annually that he or she will comply with the
following requirements:
(1) Exercise
individualized medical judgment in the administration of state-supplied
vaccines;
(2) Provide the recipient
or parent or guardian of each recipient of such vaccine copies of the current
vaccine information materials;
(3)
Retain a written immunization record of the vaccine administered for a period
of at least 3 years following the end of the calendar year in which the
immunization was given and, upon request, furnish copies of the record to the
department or the federal Centers for Disease Control and Prevention;
(4) Make no charge for vaccines provided by
the department excluding usual or customary office or professional fees charged
for vaccine administration;
(5) For
medicaid federal vaccine eligible children to accept the reimbursement for
immunization administration set by the state medicaid agency or the contracted
medicaid health plans.
(6) Provide
state-supplied vaccine to individuals regardless of their inability to pay
vaccine administration fees, and prominently display a sign that vaccines will
be so provided;
(7) To screen
children for eligibility if mandated by state or federal vaccine programs;
and
(8) To minimize vaccine
wastage;
(9) To manage ordering,
storage, and disposal of vaccine, including:
a. Ordering vaccine and maintaining
appropriate inventories;
b. Not
storing vaccine in dormitory-style units at any time;
c. Storing vaccine under proper storage
conditions at all times, including using:
1.
Refrigerator and freezer vaccine storage units; and
2. Temperature monitoring equipment and
practices that meet NH Immunization Program (NHIP) storage and handling
requirements as provided by the department; and
d. By returning all spoiled or expired public
vaccines to the Center for Disease Control's (CDC) centralized vaccine
distributor within 6 months of spoilage or expiration date;
(10) Develop policies to avoid
fraud and abuse as defined in
42 CFR
455.2;
(11) Participate in vaccine for children
(VFC) compliance site visits including unannounced visits, and other
educational opportunities associated with VFC program requirements;
(12) All healthcare providers and medical
director's or equivalent responsible representative shall certify the
following:
a. That all healthcare provider
staff, medical director, or equivalent responsible representative having access
to the VOMS shall comply with all CDC regulations and guidelines and other
applicable federal law related to accessing a CDC system and ordering
publically funded vaccines;
b. That
all healthcare providers or medical director, or equivalent responsible
representative shall identify any individual staff, or representative of the
healthcare provider who is authorized to order vaccines for the healthcare
provider;
c. That a record will
kept of any changes in staff or additions of new healthcare provider staff or
representatives, and will maintain an accurate list of who is authorized to
order vaccines;
d. That the name of
anyone no longer authorized in (12) c. above shall be provided shall be
provided to NH Division of Public Health Services within 24 hours;
and
e. That the identity of the
medical director or responsible representative has been accurately included on
the provider enrollment form;
(13) Provide a statement that the healthcare
provider medical director or the equivalent shall replace any vaccine purchased
with state and federal funds that are deemed non-viable due to provider
negligence on a dose-for-dose basis;
(14) Provide a statement that the healthcare
provider medical director or the equivalent understands that healthcare
provider or New Hampshire Immunization Program (NHIP) may terminate the
agreement at any time; and
(15)
Provide a statement that if the healthcare provider terminates the agreement,
the unused federal vaccine shall be returned to NHIP as directed by
NHIP.
(f) Vaccine
providers shall document the following minimum information on the vaccine
recipient's medical record:
(1) Type of
vaccine;
(2) Date of vaccine
administration;
(3) Manufacturer of
vaccine administered;
(4) Lot
number of vaccine;
(5) Route and
site of vaccine administration;
(6)
Name and title of the person administering the vaccine;
(7) Address where the vaccine was
administered; and
(8) Results of
eligibility screening of the child for federal vaccine assistance
programs.
(g) When
ordering vaccines, health care providers shall provide the following vaccine
utilization information via the online VOMS provided by the department:
(1) Type, numerical sequence, and number of
doses of vaccine administered for each specified age group;
(2) Current inventory with lot
numbers;
(3) Expiration
dates;
(4) Wastage in
doses;
(5) Number of doses
ordered;
(6) Physician or
facility's vaccine provider number;
(7) Both mailing and street
addresses;
(8) Name of provider or
facility using vaccine;
(9) Person
responsible for ordering vaccine; and
(10) Physician or facility's phone and fax
numbers.
(h) In the case
of an individual experiencing a vaccine-associated adverse medical event from a
state-supplied vaccine, the health care provider shall immediately report to
the national Vaccine Adverse Event Reporting System at www.vaers.org [File Link
Not Available] or 1-800-822-7967 and notify the department of the
report.
#4946, eff 10-2-90; EXPIRED: 10-2-96
New. #6634, eff 11-25-97; ss by
#8242, eff 12-30-04; ss by #9172, eff
6-6-08
