This draft plan is a living document and will be revised as necessary as new information and guidance is known about the vaccine candidates. NH is taking steps to ensure we are ready to receive a vaccine and have a plan that allows for equitable access for every New Hampshire resident.
At-risk health workers, residents of long-term care facilities and first responders.
*Additional phases will be added as future vaccine allocation is determined.
Persons ≥65, the medically vulnerable, intellectual and developmental disability residential facilities, correctional facility staff, and remaining health workers and first responders.
As additional COVID-19 vaccine becomes available for Phase 1b individuals and beyond, NH DHHS will distribute COVID-19 vaccines to provider offices, urgent care, pharmacies and other local health care facilities that have the capacity to offer vaccination to patients. To receive/administer COVID-19 vaccine, constituent products, and ancillary supplies, health care organizations that want to receive COVID-19 vaccine must enroll in the federal COVID-19 Vaccination Program coordinated through the New Hampshire Immunization Program. Enrolled COVID-19 vaccination providers must be credentialed/licensed in the jurisdiction where vaccination takes place and sign and agree to the conditions in the CDC COVID-19 Vaccination Program Provider Agreements. These conditions are detailed in the agreement itself. Note that NH DHHS will only be able to begin providing vaccine to these entities when vaccine supply allows.
In order to enroll as a COVID-19 vaccination provider, download the Provider Agreement complete the form electronically, being careful to follow the instructions, and email to C19Enrollment@dhhs.nh.gov.
Portable Document Format (.pdf). Visit nh.gov for a list of free .pdf readers for a variety of operating systems.
Microsoft Excel format.
New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852