Interest in utilizing the Connecticut COVID-19 Vaccine Appointment Assist Line – United Way of Connecticut

I am interested in Utilizing the Connecticut COVID-19 Vaccine Appointment Assist Line to schedule appointments for vaccine adminstrations*

Yes
Not at this time

Your Name*

First Last

Your Title

Provider Name*

Email*

Below is some information about the responsibilities and services of the CT COVID-19 Vaccine Appointment Assist Line (VAAL) as well as the requirements for providers who will partner with VAAL for scheduling.

VAAL Responsibilities and Services

VAAL operates from 8am to 8pm, every day of the week
VAAL does not schedule same-day appointments
VAAL stops scheduling next-day appointments as of 6pm Eastern Time each day

VAAL books appointments for many providers and sites throughout the state and must adhere to a consistent cut-off time in order to best serve the patients and providers

VAAL will screen patients for eligibility in accordance with State of Connecticut phased eligibility criteria

VAAL will only schedule appointments who present as meeting eligibility criteria
Providers may confirm eligibility or perform additional eligibility checks, but must assume responsibility for making any changes to patient scheduling as a result

VAAL will book 1st-dose appointments only

VAAL will book 1st-dose appointments no more than 20 days in advance to ensure providers have adequate availability of appointment slots for providers to book the 2nd-dose appointment

VAAL will communicate detailed instructions from the provider regarding how to prepare for their 1st-dose appointment
VAAL will send a reminder e-mail to patients 24 hours in advance of scheduled 1st-dose appointment, and a reminder SMS text message to patients 24 hours in advance of their scheduled 1st-dose appointment
VAAL provides this scheduling service and support at no cost to providers or patients

Provider Requirements and Responsibilities for Participation with VAAL

Providers agree that VAAL will book 1st-dose appointments only
Providers must record no-shows as missed appointments in Appointment Plus each day
Providers must book the 2nd-dose appointment for each patient who attends their appointment and receives their 1st-dose

Providers may use the web-based Appointment Plus calendar to book 2nd-dose appointments
If not using web-based Appointment Plus calendar, providers must inform UWC how they will book 2nd-dose appointments

Providers agree to utilize the Appointment Plus Internet-Based Calendar Solution for 1st-dose appointments

Providers will complete Appointment Plus training and onboarding
Appointment Plus will provide 1-hour virtual training

Providers will ensure that at least 18 days of availability is entered into the Appointment Plus calendar for VAAL to schedule eligible patients into for their 1st-dose appointment

Providers will communicate changes about appointment availability to UWC for updating in Appointment Plus

I agree to abide by the Provider Requirements listed above*

I agree

Potential Start Date for Appointments through Vaccine Appointment Assist Line*

Please select a date. This date will be used to inform the scheduling of training, onboarding, and setup. It is not necessarily the actual start date. Your best estimate is fine!

How many locations will have vaccine appointments?*

Please enter a number greater than or equal to 1.

Please enter the total number of locations where you will be administering vaccines scheduled by the Vaccine Appointment Assist Line.

Appointments per week*

The total anticipated total appointments per week to be scheduled by the Vaccine Appointment Assist Line, for all of your sites.