US · guidance
CMS SOM App. B, Tag G582
§484.60(b)(2) Influenza and pneumococcal vaccines may be administered per
agency policy developed in consultation with a physician, physician assistant, nurse
practitioner, or clinical nurse specialist, and after an assessment of the patient to
determine for contraindications.
Interpretive Guidelines §484.60(b)(2)
The HHA, in consultation with a physician, physician assistant, nurse practitioner, or
clinical nurse specialist must develop a written policy that addresses vaccination
screening for safety exclusions and assessing contraindications prior to administration of
a vaccine, as well as written policies and procedures that address vaccine administration,
including managing adverse reactions. No individual physician or allowed practitioner
order is required for a vaccine. The administration of these vaccines is an exception to
§484.60(b)(1).
History
Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
ae31fe5ad60f960141bd989912fe0a3a5a01c5b6786b2dc17864d3d671d43a52
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