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The U.S. Food & Drug Administration has not yet authorized COVID-19 vaccine booster doses, and CDC’s Advisory Committee on Immunization Practices (ACIP) has not yet made a recommendation on booster doses for people living and working in LTC settings. CDC will update this webpage when new information is available.

How Jurisdictions Can Ensure COVID-19 Vaccine Access for Staff and Residents in Long-term Care Settings

COVID-19 Vaccine Access in Long-term Care Settings: Information for Jurisdictions (State and Local Immunization Programs)

Jurisdictions play a critical role as the first-level safety net support in ensuring all long-term care (LTC) settings have the vaccine access and support they need.

On this page, the Centers for Disease Control and Prevention (CDC) explains the options for long-term care administrators and managers to consider when coordinating access to COVID-19 vaccines for residents and staff and how state and local immunization programs can assist them, if needed.

LTC administrators and managers have been advised to contact their state or local health department’s immunization program for assistance if they are having difficulties arranging COVID-19 vaccination for their residents and staff.

  • If you are contacted by a provider in an LTC setting: Review the options for coordinating access to COVID-19 vaccines with them, and provide vaccination services through your immunization program, if needed.
  • CDC is available as a safety net support if your state or jurisdictional immunization program is unable to connect an LTC setting with a vaccine provider.

Options for Coordinating Access to COVID-19 Vaccines

Vaccination in the Local Community

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LTC providers should let residents and staff know that they can receive a COVID-19 vaccine at an existing vaccine site (e.g., a nearby pharmacy or healthcare provider’s office).

  • For residents and staff who are willing and able to travel to a vaccine site, this may be the fastest way to get vaccinated. Residents and staff should follow safety precautions when in the community. See How to Protect Yourself & Others for more information.
    • LTC administrators and staff may visit to find the nearest pharmacy.
  • LTC residents and staff should bring their vaccination cards with them to their booster or additional dose appointments. See Vaccine Card and Your Additional Dose for more information.
  • If LTC residents attend a day program, visit a senior center, or participate in a congregate nutrition program, LTC administrators and managers should check and see if those programs are offering on-site vaccinations.
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If your facility does not already provide transportation, consider arranging transportation from your facility.

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LTC staff may need to use time off to access COVID-19 vaccines and some employers are eligible for tax credits for granting that time.

Vaccination On-Site

For some residents and staff, receiving vaccinations on-site may be the best option.

Additional Support for LTC Settings

  • If LTC settings have already explored the options above to coordinate access to COVID-19 vaccines for their residents and staff and still need assistance, their next step should be to reach out to the state or local immunization program for assistance.
  • If the state or jurisdictional immunization program is unable to connect an LTC setting with a vaccine provider, CDC is available as an additional safety net support.
    • Contact CDC INFO at 800-232-4636 for additional support.

CDC will share information with jurisdictions on how to request this support.

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If CDC’s ACIP makes a recommendation on booster doses for people living and working in LTC settings, CDC will update this webpage with more information when it is available.

Page last reviewed: September 17, 2021