1. (a) Data elements regarding an immunization record provided to the department, whether electronically or by other means, shall be submitted in a format prescribed by the department.
2. (b) Effective January 1, 2005, a health care provider who administers an immunization to a person younger than 18 years of age shall provide data elements regarding an immunization to the department within 30 days of administration of the vaccine. Effective January 1, 2005, the department shall verify consent before including the reported information in the immunization registry, and the department may not retain individually identifiable information about a person for whom consent cannot be verified. For immunizations administered prior to January 1, 2005, providers shall provide an immunization history for persons for whom consent to participate in the registry has been obtained unless the immunization history is submitted to a payor.
3. (c) Effective January 1, 2005, a payor that receives data elements from a provider who administers an immunization to a person younger than 18 years of age shall provide the data elements to the department within 30 days of receipt of the data elements from a provider. Effective January 1, 2005, the department shall verify consent before including the reported information in the immunization registry, and the department may not retain individually identifiable information about a person for whom consent cannot be verified. For immunizations administered prior to January 1, 2005, payors shall provide an immunization history for persons for whom consent to participate in the registry has been obtained.

4. (d) A parent may provide evidence of a child's immunization history, in a format provided by the department or one substantially similar, directly to the department for inclusion in the registry. The department shall ensure that the immunization history submitted by a parent is medically verified immunization information by requiring the parent to submit evidence that includes a copy of one or more of the following:

   1. (1) the child's medical record indicating the immunization history and including a provider's signature and the name and address of the provider;
   2. (2) A vaccine-specific invoice from a health care provider for the immunization;
   3. (3) vaccine-specific documentation showing that a claim for the immunization was paid by a payor;
   4. (4) an immunization record signed by a school official; or
   5. (5) an immunization history provided by a local or state immunization registry.
5. (e) The department shall provide notice to a provider that submits an immunization history for a person for whom consent cannot be verified. The notice shall contain instructions for obtaining consent and resubmitting the immunization history to the department.
6. (f) A provider shall, upon request of the department, provide additional information to clarify an immunization history submitted to the department.
7. (g) The department shall provide instruction and education to providers about the immunization registry provider application and enrollment process and expedite processing of provider applications.

Source Note:The provisions of this §100.6 adopted to be effective May 6, 2004, 29 TexReg 4155.