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This document serves as a provider agreement for facilities enrolling in the South Carolina State Vaccine Program, outlining the responsibilities and conditions for receiving publicly funded vaccines.
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How to fill out SOUTH CAROLINA STATE VACCINE PROGRAM PROVIDER AGREEMENT

01
Start by downloading the SOUTH CAROLINA STATE VACCINE PROGRAM PROVIDER AGREEMENT form from the official website.
02
Carefully read through the guidelines and instructions provided in the agreement.
03
Fill out the provider information section, including the name, address, and contact details of the healthcare provider.
04
Provide a description of the services your facility offers related to vaccine administration.
05
Indicate the types of vaccines you plan to administer and any relevant storage and handling capabilities.
06
Review the compliance requirements and fill in any necessary certifications or attestations.
07
Include signatures from authorized representatives as required.
08
Submit the completed agreement to the relevant state health department office as specified in the instructions.

Who needs SOUTH CAROLINA STATE VACCINE PROGRAM PROVIDER AGREEMENT?

01
Healthcare providers, hospitals, clinics, and pharmacies that wish to participate in the South Carolina State Vaccine Program and administer vaccines.
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With the end of the COVID-19 public health emergency, many states are winding down COVID-19 vaccine mandates, with some states moving to limit the ability of public and private entities to require COVID-19 vaccinations as a condition of employment or access to goods and services.
The Advisory Committee on Immunization Practices (ACIP) develops recommendations on how to use vaccines to control disease in the United States. These recommendations become official CDC policy once adopted by CDC's Director.
Children ages 18 years or younger who are enrolled in a Medicaid program or are eligible for Medicaid can receive VFC Program benefits. However, children who are enrolled in a separate CHIP program are considered insured and do not qualify for VFC Program benefits.
A medical exemption can only be obtained through a licensed individual or his/her representative that practices medicine, surgery, or osteopathy. A religious exemption for daycare and school-aged children can be obtained through your local county health department. Refer to exemptions from school vaccine requirements.
California removed its personal and religious exemption option in 2015. Parent/guradian must complete an online educational module to receive a non-medical exemption. Connecticut removed its religious exemption option in 2021.
COVID-19 vaccines are not required. As of September 2024, the updated 2024-2025 COVID-19 vaccines are available and authorized for everyone 6 months of age and older. As always, DPH encourages people to speak with their health care provider to evaluate the risks and benefits of vaccination.
Legislators passed a law in April 2022 banning public employers in South Carolina from mandating COVID vaccinations.
South Carolina law only allows medical or religious exemptions to vaccine requirements for day care and school-aged children. That policy can be found here.
A medical exemption can only be obtained through a licensed individual or his/her representative that practices medicine, surgery, or osteopathy. A religious exemption for daycare and school-aged children can be obtained through your local county health department. Refer to exemptions from school vaccine requirements.

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The South Carolina State Vaccine Program Provider Agreement is a legal contract between vaccine providers and the state of South Carolina that outlines the terms and conditions for administering vaccines as part of the state's vaccination program.
Healthcare providers and organizations that wish to administer vaccines as part of the South Carolina vaccination program are required to file the South Carolina State Vaccine Program Provider Agreement.
To fill out the South Carolina State Vaccine Program Provider Agreement, providers should complete the required sections with accurate information about their facility, personnel, vaccine storage capabilities, and any additional relevant details as specified in the agreement.
The purpose of the South Carolina State Vaccine Program Provider Agreement is to establish a formal relationship between vaccine providers and the state, ensuring that vaccines are administered according to state and federal guidelines, and to facilitate the distribution and reporting of vaccination data.
Providers must report information including but not limited to provider contact details, facility type, vaccine administration capacity, vaccine storage requirements, and compliance with reporting obligations as outlined in the agreement.
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