Currently, MDCH is not requiring pre-approval for influenza testing at MDCH for congregate setting outbreak/cluster investigations and for the following cases: ICU hospitalizations, severely ill pregnant women, patients with unusual and severe presentations, and deaths. Please see the following guidance for more information and instructions (9/18/09)

Influenza A (H1N1) 2009 Monovalent Influenza Vaccine Provider Toolkit
2009 H1N1 Flu Vaccine Safety Resources for Clinicians
FAQ for Clinicians Regarding 2009 Novel Influenza A (H1N1)	11/9/09
Policy Statement on Mandatory Vaccinations for Healthcare Workers	9/30/09
Update for Clinicians on the Reporting of Influenza-Associated Hospitalizations and Deaths for the 2009-2010 Influenza Season	9/18/09
PREP Act Fact Sheet	9/9/09
H1N1 Rapid Influenza Testing Information for Healthcare Providers	8/14/09
Clinician Update: Novel H1N1 Influenza Status  Influenza surveillance indicates that hospitals continue to experience increased influenza-like illness activities.  This clinician update provides information to assist with patient management.	6/16/09
MDCH Bureau of Laboratories Updates

Letters to Healthcare Providers

CDC Letter to Providers Promoting PPSV for Adults	11/10/09
MDCH Chief Medical Executive Letter about VAERS	10/9/09
MDCH Chief Medical Executive's Letter to Obstetricians and Gynecolgists	10/2/09
Letter to Health Care Providers of Children	9/25/09
Letter to Healthcare Providers of Children with Special Needs	9/25/09
Letter to healthcare providers about preparing for the 2009-2010 influenza vaccination program	8/26/09

Vaccine and Antiviral Resources

2009 H1N1 Pandemic Update: Pneumococcal Vaccination Recommended to Help Prevent Secondary Infections	11/16/09
Clinicians Considering the Use of Peramivir IV
Recommendations for Early Empiric Antiviral Treatment in Persons with Suspected Influenza who are at Increased Risk of Developing Severe Disease	10/19/09
ACOG Assessment & Treatment Algorithm for Pregnant Women	10/15/09
Handling Instructions for 2009 H1N1 Vaccine	9/16/09
H1N1 Vaccine Administration Billing Q & A	9/15/09
MDCH Tamiflu Compounding Guidance	9/9/09
LAIV Fact Sheet
H1N1 Vaccination Record Card
Information for Providers Interested in Providing H1N1 Vaccine Steps you can take now to enroll in the Influenza A (H1N1) 2009 vaccination program, including the MDCH H1N1 Vaccine Provider Agreement.
MDCH Vaccination Postcard
MDCH H1N1 Vaccine & Antiviral Information

Information from the Centers for Disease Control and Prevention

Additional Links

Medicare vaccine reimbursement guidance (Centers Medicare & Medicaid Services)