Add Organizations

 Purpose

Through Add Organizations, an administrator will have the ability to add an ImmTrac2 profile for a provider organization.  If a user is an administrator for a parent organization, the option to modify information for the parent or any of the parent’s sub-site organizations will be available, with some limitations.

 Add ImmTrac2 Profile

 The following fields are available when adding an organization:

Field Name

Description

Name

Required. The name of the organization that will be added.

Org Type

Required. The type of organization that will be added. Drop-down menu pre-populated with Organization Types.

Org Intent

Required. The types of clients the organization serves. Select from the drop-down menu (Adult, Pediatrics or both).

TVFC

This tells whether or not this organization participates in a VFC. The IR Help Desk will not manually enter in orders which came by fax for VFC only providers. Select Yes or No

Deputizing Agreement

Appears if the organization is a VFC organization. Default is "No". Select "Yes" if there is a Deputizing Agreement.

Public Org

This tells whether the organization is public. This influences which vaccines the organization can order. Select Yes or No

State Reminder/Recall

The State Reminder Recall determines if the Organization can run a Statewide reminder recall report.  Default value = No.  If "Yes" is selected the organization will have the option to run statewide reminder recall reports.

County Org

This tells whether the organization is a county health department or county health program. If you choose Yes, make sure to select one or more counties in the Assigned County field for the organization. This will enable you to run Reminder Recall and Assessment reports for patients living in the county specified. Select Yes or No

Return Clients without Imms

This tells whether or not to include clients that don't have immunization when running reports.

County

Required. Drop-down menu pre-populated with TX counties.

Responsible Entity

Required. Select from the drop-down menu.  Each provider site will be assigned/associated  with a state-defined region known as a Responsible Entity.

Birthing Facility ID/TER Code

The ID assigned to  birthing facilities.

Import Code

The code used to import files/data.  Automatically generated by the system.

Site Registration Date

MM/YY/YYYY format. The date the initial site agreement was signed.

Site Agreement Date

MM/YY/YYYY format. The date of the most recent site agreement.

Org Medicaid ID

The organization’s Medicaid ID number.

VACCINES OFFERED section

All ACIP Recommended Vaccines

All vaccines listed on ACIP schedule are offered by the organization.

Offers Select Vaccines

Vaccines that are selected are offered by the organization. Check the boxes to select the appropriate vaccines that are offered.

Data Source

Required. From the drop-down menu, select who will be submitting immunization information for this organization, self, parent, or vendor. Default is Self.

Data Source Relationships

Required. From the drop down menu, select the organization that will be submitting immunization information for this organization if it is something other than “Self”.

Data Exchange Selections

Source Type

Required. From the drop-down menu, select whether the parent or subsite will submit data.  Primary=Parent site, Secondary=Subsite. Default is Unknown/None.

Submission Type

From the drop-down menu, select how the organization will submit data.

State Supplied Vaccines Profile section

VFC PIN

State supplied PIN

Varicella Certified

Select from the "Yes" or "No" radio buttons.

VFC Status

Select from the drop-down menu.

VFC Only

Select whether or not the organization participates only I the TVFC inventory portion of ImmTrac2.  Select from the "Yes" or "No" radio buttons

Billing Begin Date

MM/YY/YYYY format

End Date

MM/YY/YYYY forma

Tier/Frequency

Select from the drop-down menu.

Original Certification Date

MM/YY/YYYY format

Recertification Date

MM/YY/YYYY format

Delivery Days and Times

Times at which vaccines should be delivered. Select Delivery Window 1 times and Delivery Window 2 times (optional)

Organization Contact Information section

Phone

Phone number of point of contact

Fax

Fax number of contact

Organization Email

Email address for the organization (optional)

Physical Address

Enter Address 1, Address 2, PO Box, City, State, Zip(+4) as applicable

Mailing Address

Click box to populate with physical address or enter Address 1, Address 2, PO Box, City, State, Zip(+4) as applicable

Vaccine Delivery Address

Click box to populate with physical address or enter Address 1, Address 2, PO Box, City, State, Zip(+4) as applicable

Organization's Client Demographic Information section

Which age groups does the Organization vaccinate?

Survey of immunization given by age within organization

 Does the Organization Vaccinate Privately insured clients?  

Survey of immunization given by age for clients who are privately insured.

Does the Organization bill Medicaid for admin fees?

Indicates if the org bills Medicaid for admin fees.

Does the Organization bill for CHIP admin fees?

Indicates if the org bills CHIP for admin fees.

Individual Contacts section

Contact Type

Required. From the drop-down menu, select the role the contact has.

Last Name

Required. Contact Last Name.

First Name

Required. Contact First Name.

Middle Name

Contact Middle Name.

Email

Required. Must be a unique email.  One email for multiple users is not allowed.

Job Title

The job title that the contact holds.

Telephone

Contact Phone number

Ext

Contact extension

Complete Annual Training

Required. Select Yes or No depending on whether or not the contact completed their annual training.

Type of Training Received

Required. Enter the type of training the contact received.

Comments

Comments entered by the administrator. This section will be available only for the State staff.

Clicking on Save will validate the information entered on the screen.  A message will appear at the top indicating if the organization details were saved or if there are missing required fields.

Clicking on Apply will validate the information entered on the screen.  A message will appear at the top indicating if the user was saved or if there are missing required fields.

Clicking on Cancel will discard any changes made on the screen.  A confirmation message box will appear asking if you want to continue.  Pressing OK on the message box will discard any changes made to the contact information. Cancel will keep you on the screen without discarding changes.

 

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