ASN Pt.1
ASN Pt.2
Vaccine Handling
Site Enrollment Pt.1
Site Enrollment Pt.2
100

This is the maximum administrative fee.

What is $25.00?

100

The vaccines NOT offered by ASN.

What are Men B and Influenza?

100

These refrigerators are not to be used to store vaccines.

What are dorm-style refrigerators?

100

Providers must be registered here to enroll into AIVI.

What is ImmTrac2?

100

The annual re-enrollment period.

What is October 1st to October 31st?

200

The minimum age to be eligible for ASN.

What is 19 years of age?

200

These facilities must submit a copy of their CMS letter.

What are Federally-Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)?

200

They are the two vaccine manufacturers in Texas.

Who are McKesson and Merck?

200

This tab is used first to enroll new providers.

What is the "Dispensing Location" tab?

200

This platform holds the PIN log file.

What is SharePoint?

300

The vision statement of the ASN.

What is "A Texas free of vaccine-preventable diseases"?

300

These are the formally recognized ASN Eligible Facility Types (At least 4).

What are Public Health Regions (PHRs), Local Health Departments (LDHs), Federally-qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs)?

300

These are the temperature ranges for refrigerators and freezers.

What is 36F-46F and -58F-5F?

300

These modules are required for Primary and Secondary site contacts.

What are CDC Modules 10 and 16, "You Call the Shots" trainings?

300

The total number of pages of the AIVI Program Provider Agreement.

What are 11 (or 12) pages?

400

The definition of fraud.

What is "an intentional deception or misrepresentation made with the knowledge that the deception could result in an unauthorized benefit"?

400

They are the eligible signing clinicians.

Who are MDs, DOs, ANPs, PAs, CNM, & RPhs?

400

Providers must notify REs these many days before vaccine expiration.

What is 60-90 days?

400

These page numbers in the Enrollment Form are completed by the Responsible Entity.

What are pages 14-18?

400

The EOD is added to this column if a provider does not take lunch off.

What is the Start of Lunch column?

500

The day when clinics that do not complete re-enrollment must be withdrawn.

What is January 15th?

500

These are all the vaccines ASN provides.

What are Hep A, Hep B, Hep A-B, 9vHPV, MMR, MCV4, PCV13, PPSV23, TD, TdaP, Varicella, and Zoster?

500

Sites must submit these forms each month.

What are Monthly Biological Reports, Temperature Recording Forms, Vaccine Loss Reports, and Vaccine Borrowing Forms?

500

The first digit for new Adult Flu PINs.

What is "8"?

500

The maximum number of characters per field in ITEAMS.

What is 40 characters?

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