Guiding Principles for Providers
In order to promote a fair process for vaccine administration while vaccine supply is limited, the Illinois Department of Public Health (IDPH) is requiring all providers to help ensure that vaccine recipients self-verify their eligibility for the applicable prioritization group. Self-verification ensures the recipient truthfully indicates (verbally or otherwise) their specific category of eligibility to receive the vaccine.
Providers, as a best practice, will also request documentation or proof, such as personal identification, employee verification, or documentation of a qualifying health condition or disability to confirm the individual is in the priority population being served.
Anyone can receive the vaccine regardless of insurance coverage or immigration status, including individuals who are undocumented.
- For any provider communication with the public, such as pre-screening for appointment, website information or pamphlets, indicate there is no co-pay for individuals with insurance and no charge for people who are uninsured. For information on reimbursement for vaccine administration for people who are uninsured, refer to HRSA COVID-19 Uninsured Program at https://www.hrsa.gov/CovidUninsuredClaim.
- Providers may not ask individuals to provide documentation regarding their immigration status.
For Provider Review with Vaccine Seekers in Priority Groups 1a and 1b
Indicate to vaccine seekers that vaccine supply is currently limited, and as a result, distribution is subject to strict prioritization in accordance with the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices recommendations and IDPH directives. With that understanding, ask the individual or their representative to review the categories below to confirm that the individual is in one of the priority populations to be vaccinated at this time.
Priority 1a Population Description
Health care workers, as well as residents and personnel in long-term congregate care facilities where high rates of transmission and outbreaks can occur.
Health care personnel
- Hospital settings
- Non-hospital health care
- Medical outpatient clinics
- Public health clinics
- Local Health Department Points of Distribution (PODs)
- Federally Qualified Health Centers (FQHCs)
- Home health care workers
- Home health aides
Long-term care facility staff and all residents
- Skilled Nursing Facilities
- Assisted Living Facilities
- Intermediate Care Facilities for Persons with Developmental Disabilities
- Intermediate Care Facilities for Persons with Severe Mental Illness
- State-run Veterans’ Homes
- State-operated Centers for Persons with Developmental Disabilities
- State-operated Mental Health Centers
- Residential Treatment Centers for Substance Abuse
Other identified congregate care staff and all residents
- Continuing Care Residential Facilities
- Residential Care Adult Homes
- Supportive Housing for Seniors
- Supportive Residential Facilities for Persons with Developmental Disabilities
- Supportive Residential Facilities for Persons with Severe Mental Illness
- Community Integrated Living Arrangements
- Supervised Residential Facilities for Persons with Developmental Disabilities
- Supervised Residential Facilities for Persons with Severe Mental Illness
Priority 1b Population Description
Persons who have been disproportionately affected by COVID-19 and frontline workers with higher risk of exposure due to their inability to work remotely and proximity to coworkers or the public.
Age 65 or older
Frontline essential worker (Below are examples of frontline workers within the eligible categories for Phase 1b)
Fire, law enforcement, 911 worker, security personnel, school officer
K-12 teacher, school administrator, student support staff, student aide, day care worker and center-based child care provider, home visiting provider, early intervention therapists, Head Start/Early Head Start provider, Preschool for All provider
Food and agriculture
Processing plants, veterinary health, livestock services, animal care
Industrial production of goods for distribution to retail, wholesale, or other manufacturers
Corrections workers and incarcerated individuals
Correctional officer and staff, jail officer and staff, juvenile facility staff, a worker providing in-person support or services, incarcerated individuals
U. S. Postal Service worker
Public transit worker
Flight crew, bus driver, train conductor, taxi driver, para-transit driver, in-person support, ride sharing service driver
Grocery store worker
Bagger, cashier, stocker, pickup, customer service
Shelters and adult day care staff
Homeless shelter, women’s shelter, adult day/drop-in program, sheltered workshop
Priority 1b Plus Population Description
Persons with specific health-complicating conditions or status.
- Pulmonary Diseases
- Heart Conditions
- Chronic Kidney Disease
- Solid Organ Transplant
- Sickle Cell Disease