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Required Immunizations

(Developed in consultation with the Commissioner of Health)

Return to: Insurers Health Information - Filing Resources

The Advisory Committee on Immunization Practices (ACIP) develops and adopts recommendations for the routine administration of vaccines for children and adults and promulgates schedules regarding the appropriate periodicity, dosage, and contraindications applicable to the vaccines. Pursuant to Circular Letter No. 13 (2006), covered necessary immunizations for dependent children to age 19 are those vaccines and immunizations recommended by the ACIP. ACIP recommendations are posted to the ACIP website after they are adopted. Later, they are published in the Morbidity and Mortality Weekly Report (MMWR). Once a recommendation is adopted, the vaccine or immunization must be covered in accordance with Circular Letter No. 13 (2006) as of the date of adoption.  Insurers and health plans should monitor the ACIP and CDC websites regularly for the most current information on recommended vaccinations.  Reliance on information published in the MMWR, should only be utilized in the absence of posted recommendations on the ACIP or CDC Websites, but even in such cases, recommended vaccines must ultimately be covered back to the date of adoption by ACIP.

Provisional recommendations and the federal Vaccines for Children Program (VFC) resolutions are posted on the ACIP and VFC websites and indicate adoption by ACIP. Please see the links below for more information.

New: ACIP has adopted a resolution, effective on October 25, 2011, recommending that boys receive the quadrivalent HPV vaccine. Please see the link below for the specific details of the resolution. Insurer and health plans must cover HPV vaccinations for boys performed in accordance with ACIP’s recommendations as of October 25, 2011.

ACIP Recommendations and VFC Resolutions (new external link)

Updated 11/29/2011