Policy Memo Updates - Texas Vaccines for Children

The latest Texas Vaccines For Children (TVFC) Program policy memo updates can be found below.

Title:  Discontinuation of AFIX Assessments in Public Health Clinics
Date: November 30, 2018

Beginning on December 1, 2018, the immunization staff from DSHS Public Health Regions (PHR) will no longer be required to conduct AFIX assessment visits to public immunization clinics (this includes PHR and local health department clinics).


Title: Updated Vaccine Management Plans
Date: April 23, 2018

The Immunization Unit has developed new vaccine management plan templates for the routine and emergency storage and handling of vaccines. The templates allow you to outline what you will do with TVFC and/or ASN vaccine in the event of an emergency (loss of power, unit failure, or a natural disaster). The new templates include updated water bottle and data logger requirements for refrigerators and freezers that contain TVFC and/or ASN vaccine. This new document, (E11-14498), is available at /immunize/tvfc/docs/E11-14498.pdf.


Required and Recommended Trainings for TVFC Providers

October 16, 2017

The following table outlines the required and recommended trainings necessary for new and already enrolled clinics in the TVFC Program. If you have any questions, please see the TVFC contact page.

Training Type

NEW Clinics to the TVFC Program 

Currently Enrolled Clinics with NEW Staff 

ALL Clinics at Re-Enrollment 

2018 TVFC Provider Policy Training

CDC’s You Call the Shots: 
Module 10 (Vaccine Storage & Handling) 
Module 16 (Vaccines for Children Program)
CDC's You Call the Shots

Site visit training conducted by responsible entity REQUIRED Not Required  Not Required 
Group training conducted by responsible entity REQUIRED FOR SOME REQUIRED FOR SOME Not Required
Annual training conducted by responsible entity REQUIRED FOR SOME REQUIRED FOR SOME REQUIRED FOR SOME


Title: TVFC Provider Re-Enrollment Module in Vaccine Education Online
Date: September 1, 2017

A new Vaccine Education Online Portal launched today. The TVFC Provider Policy Training, the module that is required for 2018 TVFC Provider Re-Enrollment, is fully updated and ready for providers and stakeholders. This training covers all major TVFC and ASN program policies, as well as important changes to the 2017 TVFC Provider Manual. Continuing Education Credits for this module are not available at this time.

While most of the older modules have been taken down, we will be working to bring all new modules with updated information to the Portal soon. You can create a new account and check out the new Vaccine Education Online here: VaccineEducationOnline.org. Unfortunately, the old Vaccine Education Online username and password will no longer work and you will need to create a new account to log in.

If you have any questions for the TVFC team, please see the TVFC contact page.


Title: Change to UNDERinsured Eligibility Category
Date: July 31, 2017
Summary: The TVFC Program previously allowed three options for patients to be eligible for the UNDERinsured category. Due to a recent change from the Centers for Disease Control & Prevention (CDC), there are now only two choices for the UNDERinsured category. 


Title:   Maximum Stock Levels Calculation Update
Date:  July 6, 2017
Summary:  Following recommendations by the Centers for Disease Control and Prevention (CDC), the Texas Department of State Health Services Immunization Unit has updated the process for calculating Maximum Stock Levels (MSL) for Texas Vaccines for Children (TVFC) Providers.


Title:  MenB (Trumenba®) Vaccine Dose Schedule Update
Date:  July 6, 2017
Summary:  On May 19, 2017 the Centers for Disease Control and Prevention (CDC) released a Morbidity & Mortality Weekly Report (MMWR) that contains updated recommendations from the Advisory Committee on Immunization Practices (ACIP) for the use of 2- and 3-doses of Trumenba®.

Title:   DT, PPSV23, and Td Vaccine Requirements for Availability in Provider Offices
Date:  June 5, 2017
Summary:  Providers who participate in the TVFC Program are required to carry at least one dose of a pediatric presentation of DT, PPSV23 and Td unless you are a specialty provider.


Title:   Vaccine Choice and New & Discontinued Vaccine Presentations
Date:  May 1, 2017
Summary:  The memo provides information about the upcoming Vaccine Choice period.  The memo also provides information about new and discontinued vaccine presentations for the TVFC Program.


Title:  Pentacel® Vaccine Supply Update
Date: April 19, 2017
Summary:  Sanofi Pasteur’s Pentacel® (Diphtheria and Tetanus Toxoids and Acellular Pertussis Adsorbed, Haemophilus influenzae type b, and Inactivated Poliovirus Vaccine) vaccine is no longer under order restrictions by the Centers for Disease Control and Prevention.

Title: MenB (Trumenba®) Vaccine Dose Schedule Update
Date: April 19, 2017
Summary: In October 2016, the Advisory Committee on Immunization Practices and the Centers for Disease Control and Prevention reevaluated the dosing schedule for the MenB-FHbp (Trumenba®) vaccine. 

Title:  Eligibility of Patients with Primary Private Insurance and Secondary Medicaid Coverage
Date:  April 19, 2017
Summary: The memo provides updated information on TVFC Program eligibility for patients with private insurance and Medicaid coverage.


Title: 2017 Texas Vaccines for Children Provider Manual is Now Available (PDF)
Date: February 7, 2017
Summary: The Texas Vaccines for Children (TVFC) Program is pleased to inform you that the 2017 TVFC Provider Manual has been published and is available for review and download on the Immunization Unit website.

Title: Updated Process for Determining Provider Maximum Stock Levels (PDF)
Date: January 31, 2017
Summary: The Centers for Disease Control and Prevention (CDC) now recommends smaller, more frequent orders rather than larger orders to minimize the amount of vaccines lost if an incident occurs.

View Archived Policy Memo Documents