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COVID-19 Vaccines Registration pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
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Jun 20, 2026
Summary
Connecticut Department of Public Health is requesting healthcare providers not currently enrolled in the CT Vaccine Program to pre-register for COVID-19 vaccine administration. This is a pre-registration survey for potential participation in future COVID-19 vaccination efforts, with vaccination expected to begin in phases starting potentially November 2020.
Action Required
By September 25, 2020: Healthcare providers interested in administering COVID-19 vaccines should complete the pre-registration survey at https://www.surveymonkey.com/r/COVIDVAX. Only one survey per practice location is required. This is non-binding and only for providers not already enrolled in the Connecticut Vaccine Program.