TMPPM 2008 > Texas Medicaid Services > Texas Health Steps (THSteps) > Clinical Information

43.2.3.9 Immunizations

All providers must assess the immunization status of the client at every encounter and administer any medically indicated immunizations according to the ACIP schedule, unless medically contraindicated or because of a parent's or guardian's reason of conscience, including a religious belief. The reason the indicated vaccination/toxoid was not administered must be documented in the client's medical record. The check up provider is responsible for the administration of immunizations and must not refer clients to local health departments or other entities.

The TVFC Program provides free vaccines to clients enrolled in Medicaid who are birth through 18 years of age. TVFC provides vaccines that are recommended according to the Recommended Childhood Immunization Schedule (ACIP, AAP, and the AAFP).

Refer to: "Immunizations" and "TVFC Provider Enrollment (3 Pages)" for more information on enrolling as a TVFC provider.

"Recommended Childhood and Adolescent Immunization Schedule, 2007".

Vaccine Information Statement (VIS)

A VIS is required by federal mandate to inform parents and vaccine recipients of the risks and benefits of the vaccine they are about to receive. Not only is it important to explain the risks and benefits before a vaccine is administered, but it is also important that providers use the most current forms available. For more information about immunizations, vaccine preventable diseases, or literature and forms, call the DSHS Immunization Branch at 1-800-252-9152 or review information at www.dshs.state.tx.us/immunize/default.shtm.