TVFC and ASN Re-Enrollment Center

TVFC ASN Re-enrollment Center

Welcome to the 2022 Texas Vaccines for Children (TVFC) and Adult Safety Net (ASN) Programs Re-Enrollment Center.

The Texas Department of State Health Services (DSHS) requires all re-enrolling TVFC/ASN sites to complete and submit all sections of the re-enrollment form. If you fail to complete this re-enrollment form in its entirety, your ordering privileges may be suspended.

NOTE: This site is only for re-enrollment. If you are completing a new enrollment, visit https://www.surveygizmo.com/s3/4882745/TVFC-and-ASN-Program-NEW-Enrollments.


DSHS Vaccine Provider Registration Portal


Prior to starting your re-enrollment, gather the following information:

  • TVFC/ASN PIN: This information is required to begin your re-enrollment form. If you do not know your TVFC/ASN Program PIN, contact your Responsible Entity (RE).
  • Primary and back-up vaccine coordinator’s information
    • First and last name
    • Email address
    • Phone number
  • Training Requirements: Before completing the TVFC/ASN Program Re-Enrollment, the DSHS requires that your primary and back-up vaccine coordinators complete the following:
    • 2022 TVFC/ASN Provider Policy Training, available at HHS Learning Portal: All Courses (texas.gov).
    • If you are a new primary or back-up vaccine coordinator, you are also required to complete the CDC’s “You Call the Shots” Modules 10 and 16 (available at https://www.cdc.gov/vaccines/ed/youcalltheshots.html) and the most current TVFC/ASN Provider Policy Training.
    • Once the module is completed, it is important to save copies of the Certificates of Completion as PDF files. You will be prompted to upload these certificates as you progress through the re-enrollment process.
    Patient Population:
  • For TVFC: Number of children that were vaccinated in your facility in the previous 12 months in the following categories, separated by age groups (under 1 year of age, 1 to 3 years of age, 4 to 6 years of age and 7 to 18 years of age). This information can be collected from your
    doses administered data, Medicaid claims, encounter data or your billing system.
    • Enrolled in Medicaid or Medicaid-eligible
    • UNinsured
    • American Indian/Alaskan Native
    • UNDERinsured
    • Enrolled in CHIP
    • Insured – This information services as verification for accountability of the TVFC/ASN Program to ensure federal-or state-supplied vaccines are not administered to ineligible clients.
  • For ASN: Number of UNinsured and Insured adults that were vaccinated in your facility in the previous 12 months.
    Vaccine Storage Units
  • Number of refrigerators and freezers that store TVFC and/or ASN vaccine.
  • Information on the make and model of each storage unit.
  • Number of data loggers, including a backup, that monitors the temperatures of the refrigerators and freezers.
  • Calibration Certificates or Reports of Calibration: Before completing this re-enrollment, DSHS requires all re-enrolling providers to upload current and valid certificates for all data loggers that are used to monitor the temperatures of the storage units, including the backup
    • You will be prompted to upload the certificates as you progress through the re-enrollment
  • Facilities that are Federally Qualified Health Center (FQHC) and a Rural Health Center (RHC) must also submit a copy of the Centers for Medicare & Medicaid Services (CMS) letter designating the sites as such.

Thank you for your continued support of the TVFC and ASN Programs. You help keep Texans healthy by preventing and controlling vaccine-preventable disease.

If you have any questions, please contact your TVFC/ASN Responsible Entity (RE). For technical assistance, please contact the Provider Helpdesk at 877-835-7750 or email the Vac Call Center at VacCallCenter@dshs.texas.gov.






Last updated October 18, 2021