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COVID-19 Vaccination Program Enrollment for Non-NYC Community Health Centers

November 12, 2020

The New York State Department of Health (SDOH) is launching the enrollment process for federally qualified health centers (FQHCs) interested in receiving and administering COVID19 vaccine when it is available. To be able to do so, health centers with facilities outside of New York City's five boroughs (the process is separate for NYC-based health centers) MUST ENROLL in the New York State COVID-19 Vaccination Program to order and receive publicly supplied COVID-19 vaccine and ancillary supplies.

An online enrollment application tool named “COVID-19 Vaccine Program Provider Enrollment” that contains the Provider Agreement and Profile sections outlined below, is now accessible through the Health Commerce System (HCS). Also attached are copies of relevant forms. The purpose of these forms is to assist health centers in identifying the information they will need to enter in the online tool.

The Enrollment Instructions Guide provides a detailed explanation of the application fields.

SDOH is asking health centers to please review the information in the attached documents and complete the enrollment fields in the HCS online application tool by COB November 23, 2020.

In addition, CHCANYS is partnering with the SDOH's Bureau of Immunization to host a webinar regarding the process for FQHCs to enroll in the NYSDOH COVID-19 Vaccination Program. Staff from the NYSDOH Bureau of Immunization will be presenting an overview of the process and guidance on using the online enrollment tool. The webinar is on November 17, 2020 at 03:00 PM and will be for FQHCs with locations in New York State outside the 5 boroughs of NYC.



Additional Documents:

Enrollment Instructions Guide 11-11-20
Download P • 188KB

COVID-19 Vaccination Program Provider Ag
Download • 387KB

Instructions for requesting an HCS Accou
Download • 288KB

Accessing the Enrollment Application Too
Download • 99KB


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