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Handbook Influenza information for long-term care facilities

Guidance on the current influenza season for personnel in long-term care facilities


Personnel in long-term care facilities are at an increased risk of acquiring influenza. Annual flu vaccination of both residents and staff are essential to preventing these outbreaks.

Order of the Commissioner of Public Health Regarding the Requirement for Certain Personnel to Be Vaccinated Against Influenza Virus 

MDPH has developed recommendations for long-term care facilities for the control of influenza and pneumococcal disease. 

The Center for Medicaid and Medicare Services Medical Learning Network provides further information on provider compliance.

If you have questions regarding pricing and reimbursement under Medicare Part B, including pneumococcal vaccines, please call the Medicare Call Center at 1-800-MEDICARE (1-800-633-4227). Regulation [105 CMR 150.002(D)[8)] requires LTC facilities and 105 CMR 158.030(L)(8) require Adult Day Health Programs to provide information about the risks and benefits of flu vaccine and flu vaccine at no cost to all personnel. All LTC facilities and Adult Day Health Programs are also required to report information to MDPH documenting compliance with the vaccination requirement, in accordance with the reporting and data collection guidelines of the Commissioner (105 CMR).

For questions regarding the reporting requirements, please contact Eileen McHale at the Bureau of Healthcare Safety and Quality at (617) 624-0510 or Eileen.McHale@State.MA.US.

Additional CDC guidance concerning control of influenza in LTCFs is available on the CDC’s Guidance for Influenza Outbreak Management in Long-Term Care Facilities website.




Infectious Disease Division (617) 983-6550
Urgent calls and infectious disease reporting (617) 983–6800
Laboratory Sciences Division (617) 983–6201


Infectious Disease Division (617) 983–6925
Laboratory Sciences Division (617) 983–6210


State Public Health Laboratory
305 South Street
Jamaica Plain, MA 02130