Enroll now if you plan to offer COVID-19 vaccine
Indiana Department of Health

One of the first steps in the state’s COVID-19 vaccination plan is to enroll physicians and other vaccine providers. The Centers for Disease Control and Prevention (CDC) requires anyone who plans to offer COVID-19 vaccine to register, even if they are already registered to provide other vaccines.

To streamline the process, the Indiana Department of Health (IDOH) has created an online enrollment portal. This portal will enable each entity to submit the required data elements in an electronic format that will upload to the CDC’s COVID-19 Vaccination Program Provider Agreement and Profile Form. Most of this information has been previously submitted for each entity’s annual VFC provider agreement, so they can refer to that document for assistance with the required data elements.

The enrollment will be a phased process based on expectations for vaccine availability. On Monday (Oct. 19), an email was sent to hospitals asking them to complete the enrollment for their main campuses. Initial vaccine supplies will be limited, so additional health care professionals will be asked to register in future phases of the plan as a vaccine becomes more widely available.

IDOH is asking anyone enrolling to provide the vaccine to pay attention to the following items:
  • Section A: This section must be filled out for your organization.
  • Section B: This section deals with locations for vaccination events. This should always be your office location. At this point, there is no need to identify offsite vaccination locations.
To assist in the enrollment process, IDOH has created a section on COVID-19 on its website under Provider Resources/Information for Healthcare Professionals/Healthcare Facilities and Providers. The section includes the interim draft of Indiana’s COVID-19 Vaccination Plan, a link to the CDC’s vaccination webpage and FAQs with answers to the most commonly asked questions about the vaccination provider agreement.

For answers to additional questions, contact the IDOH’s Immunization Division at immunize@isdh.in.gov or 800-701-0704.

We appreciate your prompt response to the enrollment request and will provide additional communication as the vaccine implementation process continues. Thanks for all you do to protect the health and safety of Hoosiers.