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    Immunization Unit
    Central Office
    1100 West 49th Street
    Austin, Texas 78756

    Phone: (800) 252-9152
    Fax: (512) 776-7288

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ASN - Information for Providers

Adult Safety Net - Enhancing access to vaccines for adults

Information for Health-Care Providers

Find an Adult Safety Net (ASN) Program site near you:
Please check with the clinic before you visit to make sure they can see you.

On this page:
About the Adult Safety Net Program   |   Provider Policies   |   Forms
Provider Communications   |   Adult Immunization Standards, Schedules, & Recommendations  |  News

About the Adult Safety Net Program

What is the Adult Safety Net program?
The Adult Safety Net (ASN) Program provides vaccines purchased with public funds to be used to immunize uninsured adults. Enrolled providers receive ASN Program vaccines at no cost.

What vaccines are available through the ASN Program?
The current DSHS ASN vaccine formulary includes the following vaccines:

  • Hepatitis A vaccine;
  • Hepatitis B vaccine;
  • Combination hepatitis A-hepatitis B vaccine;
  • Human papillomavirus (HPV) vaccine;
  • Measles, mumps, & rubella (MMR) vaccine;
  • Meningococcal Conjugate (MCV4) vaccine;
  • Pneumococcal polysaccharide vaccine (PPSV23);
  • Pneumococcal conjugate vaccine (PCV13);
  • Tetanus, diphtheria, & pertussis (Tdap) vaccine;
  • Tetanus-diphtheria (Td) vaccine;
  • Varicella vaccine; and
  • Zoster vaccine.

Why should I enroll?
Currently, there is a significant amount of adults in Texas who are not immunized for recommended vaccinations, meaning that they are at an increased risk of developing vaccine-preventable diseases. Your participation in the ASN Program would help to address this important public health issue by providing access to vaccines for uninsured adults. Also, since ASN Program vaccines are of no cost to your facility, and you may charge an administration fee of up to $25 per vaccine, joining the ASN Program is both beneficial to your business, as well as to the health of Texans.

Which providers are eligible to participate?
Currently, providers at the following types of public facilities are eligible to enroll in the ASN Program:

  • DSHS Health Service Region Offices
  • Local Health Departments
  • Federally Qualified Health Centers (FQHC)
  • Rural Health Clinics (RHC)
  • HIV Clinics
  • STD Clinics
  • Family Planning Clinics
  • Substance Abuse Clinics (Opioid Replacement Clinics)

How do I enroll?
If you are interested in becoming an Adult Safety Net Program provider, please contact your local Texas Vaccine for Children (TVFC) representative for assistance to complete the ASN Program Provider Enrollment Form. The TVFC representative will submit the form on your behalf and will contact you once it's processed regarding next steps.

Note: If you do not know who your TVFC representative is, are not currently enrolled in the TVFC program, or if you have questions about the ASN Program, please contact the Adult and Adolescent Immunization coordinator for your health service region. See the HSR AAI Coordinators page for contact information.

Who can I contact if I have additional questions?

You can email the Adult Safety Net Program coordinator directly at ASNinfo@dshs.state.tx.us

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Provider Policies

Storage and Handling of ASN Vaccines:

Providers must adhere to the vaccine storage and handling guidelines as required by the TVFC program and the Centers for Disease Control and Prevention (CDC).

Administering ASN Program Vaccines:

Providers enrolled in the ASN Program...

  • Must screen patients for eligibility during each encounter by using the official Adult Eligibility Screening Record;
  • Must retain the form for five years and make it available upon request from the DSHS or Local Health Department (LHD) to ensure program accountability and client eligibility;
  • Cannot charge for the cost of the vaccine;
  • May charge the patient an administration fee of up to $25 for each dose that is administered. It is important to note that if a client is unable to pay for the administration fee, the provider cannot deny the vaccine to the client.

Promotion of the ASN Program/Off-site Clinics:

Provider sites who are enrolled in the ASN Program may promote the availability of these vaccines to potential clients. Additionally, providers may conduct off-site, mobile vaccination clinics that offer ASN Program vaccine, as long as the following requirements are met:

  • Vaccines are only offered to uninsured adults.
  • The official Adult Eligibility Screening Record is used to screen all clients prior to vaccination and the forms are kept for five years.
  • TVFC vaccine storage and handling guidelines are followed.

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Provider Communications

Adult Immunization Standards, Schedules, & Recommendations

The following resources are based on recommendations from the Advisory Committee on Immunization Practices (ACIP) and/or the National Vaccine Advisory Committee (NVAC).

Note: All adult health-care providers (including ASN Program providers, non-ASN Program adult immunization providers, and even non-immunizing adult providers) should refer to the National Vaccine Advisory Committee (NVAC) Standards for Adult Immunization Practice

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Take A Stand! Use Standing Orders to Vaccinate Adults – Free Workshops

One of the strategies for increasing adult immunization rates, both nationally and in Texas, is to have standing orders implemented with your medical practice.  In February, the Immunization Action Coalition will be hosting three four-hour workshops in Texas.  The workshops will provide information on the benefits of having standing orders implemented and how they can be implemented in a healthcare provider’s office.  The DSHS Immunization Branch encourages healthcare providers (clinicians, nurses, and clinical managers) serving adult clients to attend the free workshops. 

The workshops will provide a great opportunity to meet and interact with nationally recognized speakers in adult immunizations:

  • L.J. Tan, MS, PhD, Chief Strategy Officer, Immunization Action Coalition
  • William Atkinson, MD, MPH, Association Director for Immunization Education, Immunization Action Coalition
  • Alexandra Steward, JD, Association Professor, George Washington University

The workshops will be in the following locations:

  • Fort Worth – February 16, 2016, at the Omni Hotel Fort Worth
  • San Antonio – February 17, 2016, at the Hyatt Regency Hotel
  • Houston – February 19, 2016, at the JW Marriott Hotel

For additional information and to register for the free workshops, please visit www.StandingOrders.org. 

Want to learn more about ImmTrac, the Texas Immunization Registry?

Visit www.ImmTrac.com to see how the Texas Immunization Registry can benefit you!

Last updated October 6, 2016