The Texas Department of State Health Services (DSHS) Immunizations Section created the Texas Vaccines for Children (TVFC) and Adult Safety Net (ASN) Operations Manual for REs. Consultation on the policies in this manual is done routinely with Centers for Disease Control and Prevention (CDC), the Center for Medicare and Medicaid Services (CMS), DSHS, and other organizations. The TVFC and ASN Operations Manual for REs merges policies and information into one source.

You may consult the manual, especially for handling and managing TVFC and ASN providers. Throughout the year, the DSHS Immunizations Section announces new policies via official policy letters and memorandums. The Operations Manual undergoes a comprehensive review every year.

Download the TVFC and ASN Operations Manual for REs

The Perinatal Hepatitis B Prevention Program aims to provide resources and technical support to local health departments and public health regions to identify, provide surveillance, and prevent perinatal hepatitis B. 

Please refer to the Perinatal Hepatitis B Prevention Program Manual (PDF) and Hepatitis B page for additional statutory requirements and details.

GIUTIR FY 2025

Local Health Departments (LHD) receive state general revenue and federal funding from the Immunizations Section via Interlocal Agreements (ILA) to implement activities with the primary goal of raising vaccine coverage levels in Texas. Immunization contracts with LHDs are based on the Texas DSHS Immunization cooperative agreement with the Centers for Disease Control and Prevention (CDC) and activities in the CDC’s Immunization Program Operations Manual (IPOM). LHD contract requirements are based on the CDC’s current IPOM and are updated annually.