How to Enroll to Be a Provider

Complete COVID-19 Provider Agreement and Profile

If you are already enrolled in ImmPRINT, the Provider Agreement and Profile MUST still be completed. Utilize and follow the instructional video(s): “Initial Site Enrollment” and “COVID-19 Special Project Enrollment”

COVID-19 Provider Agreement Requirements Summary

  1. Administer vaccine in accordance with all CDC requirements and CDC’s Advisory Committee on Immunization Practices (ACIP)
  2. Enter all COVID-19 vaccine administered doses required data elements within 24 hours into ImmPRINT. Please include the patient’s email for second dose reminder
  3. Preserve administration records for a minimum of 3 years
  4. Do not sell or seek reimbursement for COVID-19 vaccine and any adjuvant, syringes, needles, or other constituent products and ancillary supplies provided by federal government
  5. Administer COVID-19 vaccine regardless of the vaccine recipient’s ability to pay COVID-19 vaccine administration fees
  6. Provide EUA fact sheet or Vaccine Information Statement (VIS) before administering COVID-19 vaccine
  7. Conduct COVID-19 vaccination services in compliance with CDC’s Guidance, including  daily inventory, for Immunization Services During the COVID-19 Pandemic for safe delivery of vaccines.
  8. Comply with CDC requirements for COVID-19 vaccine management
    1. Store an handle COVID-19 vaccines properly, maintain cold chain conditions, and chain of custody at all times
    2. Monitor vaccine-storage-unit temperatures at all times.  ADPH will provide when available for ultra-cold vaccine
    3. Comply with AL’s Immunization Division guidance for temperature excursions supplied by IMM field staff
    4. Monitor and comply with COVID-19 vaccine expiration dates
  9. Report the number of doses of COVID-19 vaccine and adjuvants that were unused, spoiled, expired, or wasted in ImmPRINT when available.
  10. Comply with all federal instructions and timelines for disposing COVID-19 vaccine and adjuvant when available
  11. Report moderate and severe adverse events following vaccination to the Vaccine Adverse Event Reporting System (VAERS),
  12. Provide a completed COVID-19 vaccination record card to every COVID-19 vaccine recipient as a reminder for second dose if applicable

Ordering Vaccine

Utilize and follow the instructional video titled Vaccine Ordering Management System on the ADPH website (link below)


  1. Link to the ImmPRINT roadmap:
  2. COVID-19 Vaccine Expiration Date Tracking Tool:
  3. View the CDC video “COVID-19 Vaccine Training Module- General Overview of Immunization Best Practices for Healthcare Providers”
  4. View the ADPH Video “ Ordering COVID-19 Vaccine”
  5. Administrative cost for vaccine for the uninsured will be covered by HRSA – and FAQs for COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment and Vaccine Administration | Official web site of the U.S. Health Resources & Services Administration (

Welcome students of Clinical Clerkships

Charles White, CEO of Franklin Primary Health Center welcomes students from the Alabama College of Osteopathic Medicine for their third and fourth years of clinical clerkships.

AMEC began sending its Pipeline students for their third and fourth year clerkships to the Franklin Clinic prior to the ACOM’s establishment. ACOM students have been going to Franklin Clinic for their clerkships since 2015-2016.

Students from the Alabama College of Osteopathic Medicine were welcomed by Franklin Clinic CEO, Charles White, and Chief Medical Director, Dr. Prince Uzoije, in 2018.

Click here for the full article.

Alabama Medicaid Agency ALERT

TO: All Medicaid Enrolled Providers, FQHCs, and RHCs

RE: Patient 1st Program to End September 30, 2019

Alabama Coordinated Health Networks (ACHNs) will begin operation on October 1, 2019, and the Patient 1st Primary Care Case Management (PCCM) Program will end on September 30, 2019.

Important Dates to Remember:
July 15, 2019 Last day that DXC will accept Patient 1st Enrollment Agreements
August 14, 2019 Last day that a PMP may add or remove a recipient to or from their patient roster
October 4, 2019 Last day that a PMP will receive Patient 1st adjustments (first checkwrite in October)

If you have any questions about the Patient 1st program, please contact Latonda Cunningham at 334-353-4122 or email her at

Prepare Now for the ACHN Program:
Schedule appointments as soon as possible with those patients on your panel, especially those that have not been seen in the previous 2 years, in order to ensure your provided services are considered when patients are attributed in October 2019.

If you have questions about the ACHN program, please email: and/or you may review ACHN information on the website at the following link:

ACA 2019 Marketplace Plan Benefits Summary

Consumers’ Checkbook has created a tool to assist consumers with ACA marketplace options. The 2019 Benefits Summary has a side-by-side comparison of all 2019 plans available in each county in Alabama. You can access the guide for your state here:

Each county has its own excel file and includes tabs for each metal level of marketplace plans (Catastrophic, Bronze, Silver, CSR Silver, Gold, and Platinum).  As you’ll see in the first tab, it is noted that the information included in this resource may not be 100% accurate if there are errors in the source data.  If you learn of more accurate information for any particular plan, you are able to go in and edit the document accordingly.  The first tab also includes an explanation about the plan information included in each tab and how you can use this guide.

Those who download the guides, please share your contact information with Consumers’ Checkbook so that they can follow up and get feedback on ways to improve this tool over time.  Assisters can submit their contact info here:

Healthy People 2030 Public Comment

HHS is soliciting written comments on the proposed objectives for Healthy People 2030. They invite comments on the proposed Healthy People 2030 objectives, and the public can also propose their own objectives.

Previous public comments on the proposed Healthy People 2030 framework helped shape the vision, mission, foundational principles, plan of action, and overarching goals for Healthy People 2030. In this public comment period, HHS would like input on the proposed Core, Developmental, and Research objectives.

In response to stakeholder input, Healthy People 2030 will be a streamlined set of national health objectives guiding the nation in efforts to improve health. Heathy People 2030 will continue to represent critical public health priorities by addressing the leading causes of morbidity and mortality and driving action at the national, state, and local levels.

Primary Care Training and Enhancement: Integrating Behavioral Health and Primary Care Program

The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2019 Primary Care Training and Enhancement (PCTE): Integrating Behavioral Health and Primary Care (IBHPC) funding opportunity. The application cycle closes on January 28, 2019. The purpose of this program is to fund innovative training programs that integrate behavioral health care into primary care, particularly in rural and underserved settings with a special emphasis on the treatment of opioid use disorder.

This program supports HRSA’s priority around combatting the opioid crisis, as well as priorities around enhancing access to mental health services, by transforming the health workforce.
Applicants are tasked with enhancing primary care training using the Framework for Levels of Integrated Healthcare, establishing or enhancing training in opioid and other substance use disorders, and developing and implementing a systematic approach to improve trainee and provider wellness.

Approximately $4 million will be awarded to fund up to 10 grants. Applicants can apply for up to $250,000 per year for single projects and up to 400,000 for collaborative projects per year.