Uninsured and Underinsured Adult Vaccine - Minnesota Dept. of Health

Uninsured and Underinsured Adult Vaccine Program

MDH, with federal funding, is providing vaccine to 180 sites throughout the state for uninsured and underinsured adults (19 years and older). These sites were selected through an application process and will participate in this program through September 2019. This program is referred to as UUAV (uninsured and underinsured adult vaccine).

On this page:
Policies and Provider Agreement
V
accine Ordering
Additional Resources

Policies and Provider Agreement

  • 2018 Minnesota Uninsured and Underinsured Adult Vaccine Program Annual Provider Agreement
    All UUAV sites need to submit a signed provider agreement by Nov. 30, 2017. The online version is the preferred method.
  • 2018 Annual Report of Doses Administered with Vaccine from MDH to Uninsured and Underinsured Adults (UUAV program)
    Submit this report by Nov. 30, 2017, with the number of doses administered, even if your site did not see eligible adults during the reporting period.

Vaccine Ordering

  • 2018-19 UUAV Influenza Vaccine LATE Order Form
    If you are submitting orders for multiple sites, go into your web browser's history and select the option to "clear cookies" between orders so the online form resets.
    • Vaccine presentations available for 2018-19
      • Fluzone Quadrivalent multi-dose vials (6 months and older)
      • Fluarix Quadrivalent pre-filled syringes (6 months and older)
      • FluLaval Quadrivalent multi-dose vials (6 months and older)

Additional Resources

  • Vaccine Management Forms
    Returning nonviable vaccine, vaccine transfer record and the vaccine restitution appeal forms.
Updated Wednesday, 01-Aug-2018 17:27:30 CDT