Page 2

TANF TANF TANF TANF TANF TANF TANF TANF SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP IMMUNIZATIONS 2300 IMMUNIZATIONS (toc) 2310 Eligibility Requirements (toc) All case managers must ensure each dependent child receiving TANF assistance and not enrolled in school receives the standard immunizations established by the Nevada Division of Public and Behavioral Health (DPBH). The caregiver’s Personal Responsibility Plan (PRP) must include steps applicable to meeting the immunization requirements. The case manager/ETS will advise applicants/recipients they may obtain standard immunizations at little or no cost from local health clinics. 2311 Exemptions (toc) An exemption may be granted if: • a written statement signed by a licensed physician is provided indicating medical conditions prohibit immunizations; or • a written statement signed by the child’s caregiver is submitted stating immunizations are contrary to their religious beliefs. 2312 Standard Immunizations (toc) ACIP IMMUNIZATION SCHEDULE Recommended Vaccine Birth 2 months of age 4 months of age 6 months of age 12-15 months of age 18-24 months of age 4-6 years of age 11-12 years of age 16-18 years of age Hepatitis B 1st dose 2nd dose 3rd dose Rotavirus 1st dose 2nd dose 3rd dose* DTaP 1st dose 2nd dose 3rd dose 4th dose 5th dose HIB 1st dose 2nd dose 3rd dose** 4th dose PCV13 1st dose 2nd dose 3rd dose 4th dose Polio 1st dose 2nd dose 3rd dose 4th dose MMR 1st dose 2nd dose Varicella 1st dose 2nd dose Hepatitis A 1st dose 2nd dose Tdap 1st dose MCV4 1st dose 2nd dose HPV 1st dose & 2nd dose Influenza Annually – Ages 6 months and older 3RD dose * - If Rotarix is administered, only two does are needed. 3rd dose ** - If PedvaxHIB (PRP-OMP) is administered for does 1 and 2, a dose at age 6 months is not necessary A-2300 Division of Social Services IMMUNIZATIONS Eligibility and Payments Manual IMMUNIZATIONS 02/03/2026 MTL MM/YY