Vaccine Prioritization Dashboard

This dashboard was created as a partnership between the Johns Hopkins Disability Health Research Center and the Center for Dignity in Healthcare for People with Disabilities as a starting point for understanding how the disability community is prioritized in COVID-19 vaccine distribution and intends to help people with disabilities determine when they qualify for a COVID-19 vaccine in their state.

This tool tracks vaccine prioritization plans across five categories for the 50 US states, 5 US territories, and the District of Columbia:

  1. Long-term care settings, such as nursing homes
  2. Other types of congregate care settings, including group homes
  3. People with chronic conditions
  4. Additional disability-related groups, including three main groups: (1) people with disabilities who receive direct support care in the community, (2) people with intellectual or developmental disabilities, or (3) recipients of certain Medicaid programs
  5. Caregivers of people with disabilities living at home, including both paid and unpaid caregivers

Table 1.  COVID-19 Vaccine Prioritization for People with Disabilities Dashboard (As of 4/7/2021)

State:
Current phase as of 4-7-21:
Long term care phase:
Other congregate care settings phase:
Chronic conditions phase:
Other disability-related group phase:
Caregivers for people with disabilities phase:
Long term care definition:
Other congregate care settings definition:
Chronic conditions definition:
Other disability-related group definition:
Caregivers for people with disabilities definition:
State page:
AlabamaEligibility for anyone 16+1A1B1C1C1AResidents and Staff of nursing homes, skilled nursing and assisted living facilitiespersons working or living in congregate settings including but not limited to homeless shelters and group homespersons 16-64 years of age with high risk medical conditions (including but not limited to: cancer; chronic kidney disease; COPD; heart conditions such as heart failure, coronary artery disease or cardiomyopathies; immunocompromised state; solid organ transplant; obesity BMI >30 kg/m2; sickle cell disease; smoking; type 1 and 2 diabetes; pregnancy; other medical conditions as determined by your medical provider)Individuals with intellectual and developmental disabilitiesthose providing in in-home or mental health care directlyhttps://www.alabamapublichealth.gov/covid19vaccine/index.html
AlaskaEligibility for anyone 16+1A, Tier 1Currently eligibleCurrently eligibleCurrently eligibleN/ALong Term Care facilities included Skilled Nursing Facilities, Assisted Living Homes, and Dept of Corrections infirmaries providing care that is similar to an assisted living facilityAcute psychiatric facilities; Correctional settings; Group homes for individuals with disabilities or mental and behavioral health conditions; Homeless and domestic violence shelters; Substance misuse and treatment residential facilities; and Transitional living homes.People 50 years and above who have a high risk medical condition/People 40 years and above who have a high risk medical condition or People 16-49 who are front Line essential workers with a high risk health condition (which include cancer; chronic kidney disease; chronic obstructive pulmonary disease (COPD); heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies; immunocompromised state (weakened immune system) from solid organ transplant; obesity (body mass index [BMI] ≥30 kg/m2 but <40 kg/m2); severe obesity (BMI ≥40 kg/m2); sickle cell disease; smoking; type 2 diabetes mellitus; and pregnancy.) / Persons aged 16 years and older who have a high-risk health condition (see definition above)Down syndromeN/Ahttp://dhss.alaska.gov/dph/epi/id/pages/COVID-19/vaccine.aspx
American SamoaEligibility for anyone 16+N/AN/ACurrently eligibleCurrently eligibleN/AN/AN/A16 years of age and older with underlying medical conditions which increase the risk of serious, life-threatening complications from COVID-19those who are homebound and cannot physically come to the health center (homevisits available for this group)N/Ahttps://www.facebook.com/asdoh.hotline/
ArizonaEligibility for anyone 16+1A1B / 1C / 21C1CN/ASkilled nursing facility residents (all enrolled in CDC Pharmacy/LTC program); Assisted living, independent living, HUD senior housing (all enrolled in CDC Pharmacy/LTC Program); Assisted living, independent living, HUD senior living (not enrolled in CDC Pharmacy/LTC Program); DES group homes for individuals with developmental disabilities and ICF- IIDs, and staffAdults with high risk medical conditions living in shelters or other congregate living settings / Adults living in congregate settings (that do not have high risk medical conditions) such as correctional facilities and homeless shelters / Adults living and working in other congregate settingsAdults with underlying medical conditions (obesity, COPD, heart disease, diabetes, chronic kidney disease)Adults with MedicaidN/Ahttps://azdhs.gov/
ArkansasEligibility for anyone 16+1A1C1C1B1ALong-term care residents (adults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independently, and staff at Skilled Nursing Facilities, Assisted Living Facilities, and Residential Care Facilities)Group homes and those living in congregate settingsPeople ages 16-64 with medical conditions that increase their risk for severe COVID-19.
Individuals with intellectual and developmental disabilitiesThose providing Private or Personal Carehttps://www.healthy.arkansas.gov/programs-services/topics/covid-19-vaccination-plan
California1B, Individuals 50+, 16-64 at highest risk for moribidity and mortality from COVID-191A1B1B1B1AResidents of skilled nursing facilities, assisted living facilities, and similar long-term care settings for older or medically vulnerable individualsIndividuals who reside or work in a high risk congregate residential setting, such as an incarceration/detention facility, homeless shelter, or behavioral health facility, as these settings are high risk for outbreaks and have a concentration of individuals with high risk chronic health conditions. This includes all people experiencing homelessness, who are at risk of transitioning into congregate settings at short notice.Healthcare providers may use their clinical judgement to vaccinate individuals age 16-64 who are deemed to be at the very highest risk for morbidity and mortality from COVID-19 as a direct result of one or more of the following severe health conditions:
- Cancer, current with debilitated or immunocompromised state
- Chronic kidney disease, stage 4 or aboveChronic pulmonary disease, oxygen dependent
- Immunocompromised state (weakened immune system) from solid organ transplant
- Pregnancy
- Sickle cell disease
- Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies (excludes hypertension)
- Severe obesity (Body Mass Index ≥ 40 kg/m2)
- Type 2 diabetes mellitus with hemoglobin A1c level greater than 7.5%
Down syndrome; Healthcare providers may vaccinate individuals with developmental or other severe disabilities or illness if:
- The individual is likely to develop severe life-threatening illness or death from COVID-19 infection;
- Acquiring COVID-19 will limit the individual’s ability to get ongoing care or services vital to their well-being and survival;
- Providing adequate and timely COVID care will be particularly challenging as a result of the individual’s disability.
These include people with a range of physical and behavioral disabilities, such as:
- People with serious mental illness (SMI)
- Those with serious substance use disorder (SUD)
- All enrolled consumers of:
Regional centers;
Independent living centers;
In-home supportive services;
Community-based adult services/adult day health centers;
Medi-Cal HIV/AIDS waiver;
Medi-Cal home and community-based alternatives waiver;
Medi-Cal assisted living waiver;
Programs of all-inclusive care for the elderly;
California children’s services program (if the child is 16-21 years old);
California genetically handicapped persons program.
Staff providing in home health-care and in-home supportive services; Family member caregivers of regional center consumers with direct risk of COVID-19 exposure who care for regional center consumers at high risk of COVID-19 complications and related fatalities including the following conditions: cerebral palsy, down syndrome, epilepsy, and individuals who have specialized health care needs, including dependence upon ventilators, oxygen, and other technology are eligible. This does not include other family members within the same household who do not provide direct care to the regional center consumer. Eligible family members must obtain documentation from their regional centers, verifying the qualifying condition of the family member cared for and caregiver statushttps://covid19.ca.gov/vaccines/
ColoradoEligibility for anyone 16+1AN/A1B.3 / 1B.41B1B.1Long-term care facility residentsN/APeople age 16 and older with one of the following higher risk conditions: The intent of this classification is to vaccinate Coloradans who have risk of severe outcomes from COVID-19. It includes Coloradans with:
- Asthma (moderate to severe)
- Cancer (if you are currently receiving treatment or have received treatment within the last month)
- Cerebrovascular disease (affects blood vessels and blood supply to the brain)
- Chronic kidney disease
- COPD
- Cystic fibrosis
- Diabetes (type 1 and 2)
- Heart failure, cardiomyopathies or coronary heart disease, or severe valvular/congenital heart disease
- HIV
- Hypertension/high blood pressure
- Immunocompromised state (weakened immune system) from a blood or bone marrow transplant
- Immune deficiency
- Liver disease
- Neurologic conditions (such as dementia)
- Obesity (BMI of 30 or more)
- Pregnancy
- Pulmonary fibrosis (damaged or scarred lung tissues)
- Sickle cell disease
- Solid organ transplant
- Thalassemia (a type of blood disorder)
- Use of corticosteroids or other immune-weakening medicines
Individuals with disabilities who require direct care in their home, and people with disabilities that prevent them from wearing masks; Down syndromeHome health care workershttps://covid19.colorado.gov/for-coloradans/vaccine/vaccine-for-coloradans
ConnecticutEligibility for anyone 16+Currently eligibleCurrently eligibleN/AN/ACurrently eligibleLong-term care facility residents (Adults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independently. )Staff and residents of halfway homes, inpatient mental health facilities, correction facilities, homeless shelters, domestic violence shelters, substance use and residential treatment facilities along with othersN/AN/APaid and unpaid people serving in healthcare settingshttps://portal.ct.gov/Coronavirus/COVID-19-Vaccination---Phases
DelawareEligibility for anyone 16+Currently eligibleN/ACurrently eligibleCurrently eligibleCurrently eligibleLong-term care residentsN/APeople 16-64 with high/moderate risk medical conditions;
High Risk:
Cancer
Chronic Kidney Disease
COPD (Chronic Obstructive Pulmonary Disease)
Diabetes Mellitus
Serious Heart Conditions, such as heart failure, coronary artery disease, or cardiomyopathies
Immunocompromised state (weak immune system) from solid organ transplant
Obesity (body mass index of 30 kg/m or higher)
Sickle Cell Disease
Current or Former Cigarette Smoker
Pregnancy

Moderate Risk:
Asthma (moderate-to-severe)
Cerebrovascular disease (affects blood vessels and blood supply to the brain)
Cystic fibrosis
Hypertension or high blood pressure
Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
Liver disease
Overweight (BMI > 25 kg/m2, but < 30 kg/m2)
Pulmonary fibrosis (having damaged or scarred lung tissues)
Down syndrome; Intellectual or Developmental Disability; Severe and Persistent Mental/Behavioral Health Condition; and Neurologic conditions, such as dementiaFamily caregivers of those with high/moderate-risk conditionshttps://coronavirus.delaware.gov/vaccine/
District of Columbia1C, Tier 21A1B, Tier 11C, Tier 2N/AN/ALong term care residents; Nursing and Residential Care Facility Employees, Outpatient Providers and Ancillary Care Providers, Home Health Providers, Health Care Providers in Long-Term Care FacilitiesCongregate Settings (intermediate care facilities, community residential facilities, group homes, homeless shelters)Asthma, Chronic Obstructive Pulmonary Disease (COPD), and other Chronic Lung diseases; Bone Marrow and Solid Organ Transplantation, Cancer, Cerebravascular Disease, Chronic Kidney Disease, Congenital Heart Disease, Diabetes Mellitus, Heart Conditions, such as heart failure, Coronary Artery Disease, or Cardiomyopathies, HIV, Hypertension, Immunocompromised State, Inherited Metabolic Disorders, Intellectual and Developmental Disabilities, Liver disease, Neurologic Conditions, Obesity (BMI 30 kg/m2), pregnancy, severe genetic disorders, sickle cell disease, Thalassemia OR as with a chronic medical condition defined by their medical doctor.N/AN/Ahttps://coronavirus.dc.gov/vaccine
FloridaEligibility for anyone 16+Currently eligibleCurrently eligibleCurrently eligibleN/AN/ALong-term care facility residents and staff (includes staff of adult day care facilities and intermediate care facilities for individuals with intellectual disabilities)grouped w/ nursing homesPersons determined to be extremely vulnerable by a physician (must have physician approval by a form)N/AN/Ahttps://floridahealthcovid19.gov/covid-19-vaccines-in-florida/
GeorgiaEligibility for anyone 16+1AN/A1B1A+1A+Long-term care facility residents and staffN/AIndividuals with disabilities and individuals aged 16 years and older with certain medical conditions that increase their risk of severe illness from COVID-19. (Disabilities also include CDC definition and disabilities caused by an injury (e.g., traumatic brain injury or spinal cord injury), a disability due to a longstanding condition that could cause vision loss, nerve damage or loss of a limb, or a disability due to illness such as ALS or multiple sclerosis)Individuals with intellectual and developmental disabilitiesCaregivers provide care to people who need some degree of ongoing assistance with everyday tasks on a regular or daily basis. The recipients of care can live either in residential or institutional settings, range from children to older adults, and have chronic illnesses or disabling conditions. Caregivers to adults with intellectual and developmental disabilities provide care to people who need assistance with everyday tasks. Care recipients can live in residential or instituational settings, range from children to older adults, and have chronic illnesses or disabling conditions. In addiiton, parents of children with complex medical conditions who are at high risk for COVID complications; conditions include malignancies requiring active treatment immunocompromised state (weakened immune system) including organ transplant (bone marrow or solid organ) within 2 years, critical congenital heart disease, asthma (moderate to severe), sickle cell disease, diabetes, obesity (BMI >95%), cystic fibrosis, significant neurologic injury or condition (e.g. hypoxic-ischemic encephalopathy, traumatic brain injury, congenital anomaly, acute flaccid myelitis) with functional/developmental impairment (e.g. cerebral palsy, developmental disability, prematurity, mitochondrial disease), technology dependence (e.g. BiPAP, trach)https://dph.georgia.gov/covid-vaccine
GuamEligibility for anyone 16+N/AN/AN/ACurrently eligibleCurrently eligibleN/AN/AN/AN/AService providers contracted with the DPHSS Devision of Senior Citizens providing direct patient or client care such as transportation for medical appointments, homebound meals, in-home services, caregiver services, case management, sheltercare, adult daycare, and other direct serviceshttps://dphss.guam.gov/covid-19-vaccinations/
HawaiiEligibility for anyone 16+1AN/A1C1CN/AAdults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independentlyN/AIndividuals of all authorized vaccine eligible ages with underlying conditions that increase the risk for severe COVID 19 (also includes individuals on dialysis; people with severe respiratory disease who are on oxygen; and those undergoing chemotherapy or other infusion therapy.)Down SyndromeN/Ahttps://hawaiicovid19.com/vaccine/
IdahoEligibility for anyone 16+113.1 / 3.3 / 3.53.1 / 3.3 / 3.51Long-term care facility residents (includes residents of long-term care facilities within correctional or detention settings, residents in certified family homes, and participants in group adult daycare programs)Includes residents of long-term care facilities within correctional or detention settings, residents in certified family homes, and participants in group adult daycare programsAge 55-64 with at least one medical condition / Age 45-54 with at least one medical condition / Age 16-44 w at least one medical condition (all as defined by the CDC)Down SyndromeHome care providers for adults ≥ 65 years of age, or for other adults/children with high-risk medical conditions (includes staff of certified family homes but does not include adult family members who provide in-home personal care for adults 65 years of age and older or for other adults or children with high-risk medical conditions)https://coronavirus.idaho.gov/covid-19-vaccine/
Illinois1B+1A1A1B, Tier 21B, Tier 21ALong-term care residents, defined by the CDC as adults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independently, and staff at Skilled Nursing Facilities, Assisted Living Facilities, Intermediate Care Facilities for Persons with Developmental Disabilities, Intermediate Care Facilities for Persons with Severe Mental Illness, State-run Veterans’ Home, State-operated Centers for Persons with Developmental Disabilities, State-operated Mental Health Centers, Residential Treatment Centers for Substance Abuse, etc. and LTCF staff (Nurses (RN, LPN), Nursing Assistants, Nursing Practitioners, Nurse’s Aide, Physicians (DO, MD), Physicians Assistants, Medical Assistants, Respiratory Technicians, Dentists and Hygienists, LTCF Facility Staff, Pharmacists, Mental Health Clinicians, Environmental Services Staff, Reception Staff, Medical Facility Surveyor, Dietary Staff, Interpreters, and Laundry and Security Staff.)Continuing Care Residential Facilities, Residential Care Adult Homes, Support Housing for Seniors, Supportive Residential Facilities for Persons with Developmental Disabilities, Supportive Residential Facilities for Persons with Severe Mental Illness, Community Integrated Living Arrangements, Supervised Residential Facilities for Persons with Developmental Disabilities, Supervised Residential Facilities for Persons with Severe Mental IllnessPersons aged 16 to 64 years old with medical conditions that increase the risk for severe COVID-19. Conditions include obesity, diabetes, pulmonary disease, heart condition including hypertension, kidney disease, cancer, immunocompromised, sickle cell and pregnancy.Down SyndromeHome health care workers and home health aides; those providing “Home Health” or serving as a “Home Aide/Caregiver” for a relative with a disability include those who care for people with any of the following conditions. This list is not necessarily exhaustive: Cerebral Palsy, Down Syndrome, Epilepsy, Specialized health care needs, including dependence upon ventilators, oxygen, and other technologyhttps://www.dph.illinois.gov/covid19/vaccine-faq
IndianaEligibility for anyone 16+1AN/A1B1B1AResidents at facilities covered under the HHS Pharmacy Partnership for Long-Term Care Program. Skilled Nursing Facilities, Nursing Homes, Assisted Living Facilities, Continuing Care Retirement Communities, HUD202 Housing for the Elderly, Intermediate Care Facilities for Individuals with Intellectual Disabilities, Residential Care FacilitiesN/AAll individuals with any one of the following: Active dialysis patients, Sickle cell disease patients, Post-solid organ transplant, People who are actively in treatment (chemotherapy, radiation, surgery) for cancer now or in the last hree months, or with active primary lung cancer or active hematologic cancers (lymphoma, leukemia and multiple myeloma). Also, early childhood conditions that are carried into adulthood: Cystic fibrosis, Muscular dystrophy, People born with severe heart defects, requiring specialized medical care., People with severe type 1 diabetes, who have been hospitalized in the past year, Phenylketonuria (PKU), Tay-Sachs, and other rare, inherited metabolic disorders, Epilepsy with continuing seizures, hydrocephaly, microcephaly and other severe neurologic disorders, People with severe asthma who have been hospitalized for this in the past year, Alpha and beta thalassemia, Spina bifida, Cerebral palsy, People who require supplemental oxygen and/or tracheostomy, Pulmonary fibrosis, Alpha-1 Antitrypsin, Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, combined primary immunodeficiency disorder, HIV, daily use of corticosteroids, use of other immune weakening medicines, receiving tumor necrosis factoralpha blocker or rituximab; pregnancyIntellectual and Developmentally Disabled individuals receiving home/community-based services. (Family and Social Services Administration will provide patient information for this community.); note chronic conditions definition includes other types of disabilities, Down syndromeHome health aides, in-home providers, personal care service agencieshttps://www.coronavirus.in.gov/vaccine/index.htm
Iowa1B1A1B, Tier 31B1B, Tier 21B, Tier 2Residents of long-term care facilitiesindividuals living in congregate settings not covered by previous phaseage 16-64 with pre-existing conditionsDown SyndromeDirect care staff for individuals with disabilities living in home settingshttps://coronavirus.iowa.gov/pages/vaccineinformation
KansasEligibility for anyone 16+123 / 431 / 2Residents or patients in Long‐term care (LTC), senior housing or LTC‐supported independent livingAnyone living or working in licensed congregate settings and other special care or congregate environments including:
• Homeless shelters and other homeless housing settings and dwelling places
• Congregate childcare institutions, adult and child protective services
• Emergency shelters or safe houses for victims of domestic violence
• Corrections facilities, including jails and juvenile justice facilities
• Behavioral Health institutions (including mental health institutions) and residential treatment centers
• Adult care homes, residents and staff in home plus facilities not covered in phase 1
• Senior living homes
• Home care givers (paid or unpaid), personal care aides
Aged 16‐64 with severe medical risks / Aged 16‐64 with other medical risks (both as defined by the CDC)Down Syndrome1:Home health aides/ 2: Home care givers (paid or unpaid), personal care aideshttps://www.kansasvaccine.gov/
KentuckyEligibility for anyone 16+1A1A1C1CN/AFacilities that provide a spectrum of medical and non-medical services to frail or older adults unable to reside independently in the community, including: Skilled Nursing Facilities, Personal Care Homes, Assisted Living Facilities, Private Intermediate Care Facilities for Individuals with Developmental Disabilities, Community Group Homes, Residential Treatment Facilities for Adults, Long-term Structured Residences, State Veterans Homes, State Centers, private psychiatric hospitals, and State Hospitals.Private Intermediate Care Facilities for Individuals with Developmental Disabilities, Community Group Homes, Residential Treatment Facilities for Adults, Long-term Structured Residences, State Veterans Homes, State Centers, private psychiatric hospitals, and State Hospitals / Residents of congregate settings and individuals receiving home and community-based services
not otherwise specified as a LTCF and/or not participating in Federal LTCF Pharmacy Partnership
Anyone age 16 or older with medical or behavioral health conditions per the CDC that "are" or "might be" at increased risk of severe COVID-19 diseaseDown SyndromeN/Ahttps://govstatus.egov.com/ky-covid-vaccine
LouisianaEligibility for anyone 16+1AN/A1A1A1Anursing home/long term care facility residents and staffN/AAnyone age 16 or older with one of the following high-risk conditions:
Asthma (moderate to severe)
Cancer
Cerebrovascular disease (affects blood vessels and blood supply to the brain)
Chronic kidney disease
Chronic liver disease
COPD (chronic obstructive pulmonary disease)
Current or former smoker
Cystic fibrosis
Heart conditions, such as heart failure, coronary artery disease or cardiomyopathies
Hypertension or high blood pressure
Immunocompromised state (weakened immune system) from solid organ transplant
Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
Overweight (body mass index [BMI] of 25 or higher but less than 30)
Obesity (BMI of 30 or higher but less than 40)
Severe obesity (BMI of 40 or higher)
Pregnancy
Pulmonary fibrosis (having damaged or scarred lung tissues)
Severe neurologic conditions, such as dementia
Sickle cell disease
Thalassemia (a type of blood disorder)
Type 1 diabetes mellitus
Type 2 diabetes mellitus
home care recipients including older and younger people with disabilities over the age of 16 who receive community or home-based care, as well as clients of home health agencies; people who are both deaf and blind; Down SyndromeUnpaid family caregivers to people who are receiving licensed home and community-based services and professional home care providershttps://ldh.la.gov/covidvaccine/
MaineEligibility for anyone 16+1AN/AN/AN/AN/AResidents and Staff of Long-Term Care FacilitiesN/AN/AN/AN/Ahttps://www.maine.gov/covid19/vaccines
Maryland2B; Eligibility for everyone 16+ at mass vaccination sites; Eligibility for everyone 16+ through all providers on April 121A1B1C / 2B1B / 2BN/ANursing home residents and staffAssisted living, independent living, behavioral health and developmentally disabled group homes, and other congregate facilitiesIndividuals who are currently receiving hospital-based treatment, including in hospital outpatient centers, AND diagnosed with at least one of the following conditions: Cancer patients who are currently in active treatment; End stage renal disease patients requiring hemodialysis; Chronic Obstructive Pulmonary Disease (COPD); Solid organ transplant recipients; Sickle cell disease patients; Diabetic patients (Type 1 and Type 2) / Individuals who are diagnosed with these medical conditions but are not currently receiving hospital-based treatment, including in hospital outpatient centersIndividuals with intellectual and developmental disabilities / Marylanders ages 16+ with disabilities who are receiving SSI or SSDI benefits, Maryland Medicaid EID individuals, Maryland Medicaid REM recipients, and Marylanders receiving TDAP benefits, Marylanders receiving long term services and supports through the state’s Medicaid waiver and state plan servicesN/Ahttps://covidlink.maryland.gov/content/vaccine/
Massachusetts2, Group 512 / 2, Group 22, Group 2 / 2, Group 5N/A1, Group 7long term care facilities, rest homes, and assisted living facilities: adults who live in facilities that provide a variety of services, including medical and personal care, to people who are unable to live independentlyAll residential congretate care residents and staff; Examples include: Emergency shelter programs including homeless shelters, domestic violence shelters, and veterans’ shelters; Private special education schools which offer residential services and are approved by the Department of Elementary and Secondary Education / residents and staff of low income and affordable senior housing
individuals with 2+ comorbidities as defined by CDC (only those conditions listed as at increased risk for severe illness) / individuals with 1 comorbidityN/Ahome-based healthcare workers, including: Personal Care Attendants (PCAs) and Home-Based Respite and Individual/Family Support staff (DDS and DDS Self Directed)https://www.mass.gov/info-details/massachusetts-covid-19-vaccination-phases
MichiganEligibility for anyone 16+ (2B)1A, Group B1B, Group A1C, Group B1C, Group B1A, Group A / 1C, Group Clong-term care residents:
• Skilled nursing facility residents
• Psychiatric hospitals patients
• Homes for aged residents
• Adult foster care centers residents
• Assisted living facility residents
Those in a congregate setting that were not reached in Phase 1A.Individuals age 16 to 64 years living with substance use disorders,
severe mental illness, and/or with COPD, hypertension, chronic kidney disease, heart
disease, diabetes, obesity or other conditions that puts them at high risk of negative
COVID-19 outcome (according to the CDC).
Individuals age 16 to 64 years living with disabilities. The ADA defines a person with a disability as a person who has a physical or mental
impairment that substantially limits one or more major life activity. This includes people
who have a record of such an impairment, even if they do not currently have a disability.
Examples of major life activities include eating, sleeping, standing, lifting, reading, bending,
concentrating, thinking, communicating, and working. In addition, the ADA also includes major bodily functions (e.g., “functions of the immune system, normal cell growth, digestive, bowel, bladder, neurological, brain, respiratory, circulatory, endocrine, and reproductive functions”).
Home health care workers caring for high risk clients with large patient loads (e.g., people with a tracheostomy/ventilator at home) / Caregiver family members and guardians age 16 and over of children with special health care needs, including any physical, developmental, mental, sensory, behavioral,
cognitive, or emotional impairment or limiting condition that requires medical
management, health care intervention and/or use of specialized services or programs. The
condition may be congenital, developmental, or acquired through disease, trauma, or
environmental cause and may impose limitations in performing daily self-maintenance
activities or substantial limitations in a major life activity.
https://www.michigan.gov/coronavirus/0,9753,7-406-98178_103214---,00.html
MinnesotaEligibility for everyone 16+ (2)1A, Tier 1 / 1A, Tier 31A, Tier 31B, Tier 2 / 1B, Tier 3 / 1B, Tier 41B, Tier 21A, Tier 3Residents living in skilled nursing facilities and nursing homes (including veterans’ homes) / Residents living in housing with services with an arranged Home Care Provider, otherwise known as Assisted Living (including veterans’ homes)Congregate settings on the homeless service continuum, domestic violence settings,
people who are unsheltered, and homeless service providers.
People age 16 or 18 years and older with Sickle cell, active cancer treatment, immunocompromised from organ transplant, oxygen-dependent chronic lung or heart conditions; People with rare conditions that put them at higher risk [Every condition or disability that might increase one’s risk for developing severe illness from COVID-19 that is not listed below, such as those for which evidence may be limited (e.g., rare conditions like muscular dystrophy). Providers should use
their judgement for those conditions] / People age 45-64 years with one or more
underlying medical conditions listed below. People age 16 or 18-44 years with two or more
underlying medical conditions listed below. / People age 16 or 18 years and older with any
underlying medical condition listed below.
Underlying medical conditions that increase the risk of severe COVID-19:
 Active cancer
 Chronic kidney disease
 COPD (chronic obstructive pulmonary disease)
 Heart conditions (heart failure, coronary artery disease, cardiomyopathies)
 Immunocompromised (HIV, bone marrow, chronic steroids for more than 30 days,
immunodeficiency disease, or taking immunosuppressive medications)
 Obesity - body mass index (BMI) greater than 30 kg/m2
 Pregnancy
 Sickle cell disease
 Type 1 or 2 diabetes
People with disabilities that put them at higher risk [Every condition or disability that might increase one’s risk for developing severe illness from COVID-19 and is not listed in chronic conditions, such as those for which evidence may be limited (e.g., rare conditions like muscular dystrophy). Providers should use
their judgement for those conditions]; Down syndrome
Health care workers are those both who are paid and unpaid. This includes personal care assistants (PCAs) and direct support professionals (DSPs). Eligible unpaid caregivers include primary caregivers (see more information below) who work in similar capacities as PCAs, DSPs and nurses for persons with complex medical needs and tactile interpreters for people who are deaf-blind. For example, a parent of a child with asthma alone would not be eligible. However, if a child has severe autism and is nonverbal, has asthma and requires direct support with, toileting, feeding, using their nebulizer etc., and the caregiver is providing direct care not normally provided for a child of a similar age, the primary caregiver(s) would be considered a health care worker. A spouse providing direct care for their partner with Multiple Sclerosis is another example of an eligible health care worker.https://www.health.state.mn.us/diseases/coronavirus/vaccine/plan.html
MississippiEligibility for anyone 16+Currently eligibleN/ACurrently eligibleCurrently eligibleN/ALong-term care facility residents and staffN/AAnyone 16 to 49 years old with a chronic health condition that may put them at higher risk from COVID-19. (18 or older at our drive-through sites.) Qualifying health conditions:
Cancer
Chronic kidney disease
COPD (chronic obstructive pulmonary disease)
Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
Immunocompromised state (weakened immune system) from solid organ transplant
Obesity (body mass index [BMI] of 30 kg/m2 or higher but less than 40 kg/m2)
Severe Obesity (BMI 40 kg/m2 or higher)
Pregnancy
Sickle cell disease
Smoking
Diabetes
Or other medical conditions as determined by your medical provider
Note that your physician or medical provider may advise that you be vaccinated even if you do not have a health condition listed above.
Down SyndromeN/Ahttps://msdh.ms.gov/msdhsite/_static/14,0,420,976.html
Missouri21A1A1B, Tier 21B, Tier 21ALong-term care facilities and residents, including Department of Mental Health
(DMH)-operated facilities; includes: Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities, Residential Care Facilities, and State Veteran Homes
Congregate community healthcare settings staff and residents, including DMH contracted settings and adult day cares; Includes: DMH licensed/certified Residential Settings (personnel and residents); DMH licensed/certified Day Program Options (personnel and residents); DHSS licensed Adult Day Cares (personnel and residents); Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) (personnel and residents)Any adults with cancer, Chronic Kidney Disease, COPD, Heart Conditions such as heart failure, CAD (coronary artery disease) or cardiomyopathies, weakened immune system state from solid organ transplant, severe obesity (BMI >40), pregnancy, Sickle Cell Disease, Type 2 Diabetes MellitusIndividuals with intellectual and developmental disabilities, Down SyndromeHome and Community Based Services providers (personnel),
In-home care, including *family caregivers, Consumer-directed services, Private-duty home care, Private-duty nursing care, Adult foster care. (*Family caregivers often serve in the role of an unpaid healthcare worker, providing in-home care to those at an increased risk for severe illness as a result of COVID-19. These family and household members serve in a role to meet the daily care needs of an adult unable to complete those tasks independently or for a child with specialized medical needs. As unpaid healthcare providers, these caregivers are currently eligible to receive the vaccine.)
https://covidvaccine.mo.gov/
MontanaEligibility for anyone 16+1A1C1B / 1B+1BN/Along term care and assisted-living facilitiesIndividuals residing in congregate care and correctional facilities not already included in 1BPersons aged 16-69 with high-risk medical conditions. Qualifying medical conditions include:
o Cancer
o Chronic kidney disease
o COPD (chronic obstructive pulmonary disease)
o Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
o Immunocompromised state (weakened immune system) from solid organ transplant
o Severe Obesity (BMI ≥ 40 kg/m2)
o Sickle cell disease
o Type 1 & 2 Diabetes mellitus / Persons aged 16-59 with medical conditions not included in Phase 1B who may be at elevated risk for COVID-19
related complications. Qualifying medical conditions include:
o Asthma (moderate to severe)
o Cerebrovascular disease (affects blood vessels and blood supply to the brain)
o Cystic fibrosis
o Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune
deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
o Neurologic conditions, such as dementia
o Liver disease
o Pulmonary fibrosis (having damaged or scarred lung tissues)
o Thalassemia (a type of blood disorder)
o On a case by case basis, medical providers may include individuals with other conditions that place them at
elevated risk for COVID-19 related complications.
Down syndromeN/Ahttps://dphhs.mt.gov/covid19vaccine
Nebraska2A, age-based rollout1A1CN/AN/AN/ALong-term Care Facility residents and staff (includes nursing homes and assisted living facilities)Congregate settingsN/AN/AN/Ahttp://dhhs.ne.gov/Pages/COVID-19-Vaccine-Information.aspx
NevadaEligibility varies by county; many counties are vaccinating all individuals 16+ or 18+ (if they do not have access to Pfizer vaccine)Currently eligibleCurrently eligible1C1Currently eligibleLong-term Care Facility Staff and Residents including: nursing homes, skilled nursing facilities, behavioral health centers, and assisted living facilities. Individuals with disabilities living in group settings will be prioritized within this group. These settings include Intensive Supported Living Arrangements (ISLA) and Supported Living Arrangements (SLA) for staff and residents.Individuals with disabilities living in group settingsIndividuals 16-64 with high-risk medical conditions as defined by the CDC and underlying health conditions which mean a person might be at an increased risk for severe illness from COVID-19 as defined by the CDCN/ACare services for the elderly and people with disabilitieshttps://www.immunizenevada.org/nv-covid-fighter
New HampshireEligibility for anyone 16+Currently eligibleCurrently eligible1B / 3A3A1BResidents of long-term care and assisted living facilitiesresidents and staff of residential facilites for persons with intellectual and developmental disabilitiesmedically vulnerable at significantly higher risk with two or more underlying medical conditions and their family caregivers <16 / medically vulnerable <50 years old at moderately higher risk with one or more underlying medical conditions; Underlying medical conditions list: Cancer
Chronic Kidney Disease
COPD (Chronic Obstructive Pulmonary Disease) and other high-risk pulmonary disease
Heart Conditions, such as heart failure, coronary artery disease, or cardiomyopathies
Immunocompromised states
Obesity (body mass index of 30 kg/m or higher)
Pregnancy
Sickle cell disease
Type 2 Diabetes Mellitus
Down syndromeFamily caregivers who provide regular direct care to children under 16 years old whose provider has attested that the child has two more conditions that put them at significantly higher risk for severe COVID-19 disease or deathhttps://www.vaccines.nh.gov/
New Jersey1CCurrently eligibleCurrently eligibleCurrently eligible2Currently eligibleAll residents and workers of long-term care and high-risk congregate care facilities, including:
Skilled nursing facilities
- Veterans homes
- Assisted living facilities, continuing care retirement communities, and personal care homes
- Group homes like residential care homes, adult family homes, adult foster homes, and intellectual and developmental disabilities group homes
- HUD 202 Supportive Housing for the Elderly Program residences
- Institutional settings like psychiatric hospitals, correctional institutions, county jails, and juvenile detention facilities (for eligible minors, e.g. 16+ years of age may be eligible for Pfizer vaccine under the emergency use authorization)
- Other vulnerable, congregate, long-term settings
listed under long-term careIndividuals ages 16-64 with medical conditions, as defined by the Centers for Disease Control and Prevention, that increase the risk of severe illness from the virus / individuals with the following conditions that might be at increased risk for severe illness from the virusIndividuals with intellectual and developmental disabilities 16 and overPaid and unpaid caregivershttps://covid19.nj.gov/faqs/nj-information/slowing-the-spread/who-is-eligible-for-vaccination-in-new-jersey-who-is-included-in-the-vaccination-phases
New MexicoEligibility for anyone 16+Currently eligibleCurrently eligibleCurrently eligibleCurrently eligibleCurrently eligibleresidents of nursing homes and other long-term care facilitiesPersons in congregate settings who have not been vaccinated as part of
other phases will be identified as a vulnerable population. Congregate settings include homeless shelters, residential treatment centers, community homes, corrections or detention facilities, and juvenile justice facilities.
Persons 16+ who have at least one of the conditions from the CDC list with conditions that increase risk of serious illness and that might involve increase the riskIndividuals with intellectual and developmental disabilitiesFamily home caregivers who are paid or unpaidhttps://cv.nmhealth.org/covid-vaccine/
New York1B (All individuals 30+)1A1A1A1B1BResidents and staff in long-term care facilities, including nursing homes; and other congregate care facilitiesResidents in congregate living situations at OPWDD, OCFS, OMH and OASAS facilitiesAdult New Yorkers of any age with the following conditions qualify for the vaccine: Cancer (current or in remission, including 9/11-related cancers), Chronic kidney disease, Pulmonary Disease, including but not limited to, COPD (chronic obstructive pulmonary disease), asthma (moderate-to-severe), pulmonary fibrosis, cystic fibrosis, and 9/11 related pulmonary diseases, Heart conditions, including but not limited to heart failure, coronary artery disease, cardiomyopathies, or hypertension (high blood pressure), Immunocompromised state (weakened immune system) including but not limited to solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, use of other immune weakening medicines, or other causes, Severe Obesity (BMI 40 kg/m2), Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2), Pregnancy, Sickle cell disease or Thalassemia, Type 1 or 2 diabetes mellitus, Cerebrovascular disease (affects blood vessels and blood supply to the brain), Neurologic conditions including but not limited to Alzheimer's Disease or dementia, Liver diseaseIndividuals with intellectual and developmental disabilitiesHome care and hospice workers; Unpaid caregivers not includedhttps://covid19vaccine.health.ny.gov/
North CarolinaEligibility for anyone 16+11B, Tier 4Currently eligibleCurrently eligibleCurrently eligibleresidents and staff of long-term care facilities, including:
- adult care homes/assisted living
- family care homes
- group homes
- skilled nursing facilities
- mental health group homes
- shared housing with two or more individuals with intellectual and developmental disabilities receiving home and community-based services
- continuing care retirements communities
- in-patient hospice facilities
people living in congregate or close group living settings who is not already vaccinated due to age, medical condition or job function. College students living in congregate settings eligible for vaccination April 7.People 16-64 with one or more high-risk medical conditions for severe disease from COVID-19:
Asthma (moderate to severe)
Cancer
Cerebrovascular disease or history of stroke 
Chronic kidney disease 
Chronic Obstructive Pulmonary Disease (COPD)
Cystic fibrosis
Dementia or other neurologic condition 
Diabetes type 1 or 2 
Down syndrome 
A heart condition such as heart failure, coronary artery disease, cardiomyopathy
Hypertension or high blood pressure 
Immunocompromised state (weakened immune system) from: immune deficiencies, HIV, taking chronic steroids or other immune weakening medicines, history of solid organ blood or bone marrow transplant
Liver disease, including hepatitis 
Pulmonary fibrosis
Overweight or obesity  
Pregnancy 
Sickle cell disease (not including sickle cell trait) or thalassemia 
Smoking (current or former, defined as having smoked at least 100 cigarettes in their lifetime)
Intellectual and Developmental Disabilities including Down Syndrome,Home caregivers providing regular care to medically fragile children and adults (paid and unpaid caregivers)https://covid19.ncdhhs.gov/vaccines
North DakotaEligibility for anyone 16+1A, Tier 1B1B1B / 1CN/A1A, Tier 1BAdults who reside in congregate facilities that provide a variety of services, including medical and personal care, to persons who are unable to live independently (including intermediate care facilities for individuals with developmental disabilities)persons living in other congregate care settings (i.e. corrections, group homes, treatment centers, homeless shelters, etc.)CDC definition WITH age considerations. Prioritized in this order:
• Persons age 65 – 74 with two or more high-risk medical conditions
• Persons age 65 and older with one or more high-risk medical conditions
• Persons age 65 and older with or without high-risk medical conditions
• Persons with two or more high-risk medical conditions regardless of age / Persons age 16 – 64 with one or more high-risk medical conditions
Down syndromehome health staff (Health system associated and not health system associated); Unclear whether unpaid caregivers are includedhttps://www.health.nd.gov/covid-19-vaccine-information
Northern Mariana IslandsSaipan ages 16+
Tinian and Rota ages 18+
Currently eligibleCurrently eligibleCurrently eligible1AN/AN/AN/AN/AN/AN/Ahttps://www.vaccinatecnmi.com/
OhioEligibility for anyone 16+ (2D)1A1A1B / 1C / 1D / 1E1A / 1B / 1B1ANursing homes and assisted living facilitiesPeople with mental health disorders, including substance use disorders, who live in group homes, residential facilities, or centers, and staff at those locations.
Residents and staff at our two state-run homes for Ohio veterans.
Ohioans born with or who have early childhood conditions that are carried into adulthood, which put them at a higher risk for adverse outcomes due to COVID-19.
• Sickle cell anemia.
• Cystic fibrosis.
• Muscular dystrophy.
• Cerebral palsy.
• Spina bifida.
• People born with severe heart defects, requiring regular specialized medical care.
• People with severe type 1 diabetes, who have been hospitalized for this in the past year.
• Phenylketonuria (PKU), Tay-Sachs, and other rare, inherited metabolic disorders.
• Epilepsy with continuing seizures; hydrocephaly; microcephaly, and other severe neurological disorders.
• Turner syndrome, fragile X syndrome, Prader-Willi syndrome, and other severe genetic disorders.
• People with severe asthma, who have been hospitalized for this in the past year.
• Alpha and beta thalassemia.
• Solid organ transplant candidates and recipients
/
• People with amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig’s disease.
• Bone marrow transplant recipients.
• These are sometimes also called hematopoietic cell or stem cell transplants, and these patients are
undergoing treatment primarily for cancer and certain anemias, and they face an increased risk of severe
COVID-19 illness.(This group does NOT include the kind of stem-cell injections people might receive for the treatment of orthopedic problems, especially for their knees.)
•People with type 1 diabetes.
•Pregnant women. /
• People with type 2 diabetes.
• People with end-stage renal disease (also known as end-stage kidney disease) /
Individuals with at least one of the following medical conditions:
• Cancer.
• Chronic kidney disease (CKD).
• Chronic obstructive pulmonary disease (COPD).
• Heart disease.
• Obesity.
People with developmental disabilities who live in group homes, residential facilities, or centers, and staff at those locations. / Down syndrome / Those with a developmental or intellectual disability AND one of the qualifying conditions listed in chronic conditions as an "early childhood conditions that are carried into adulthood, which put them at a higher risk for adverse outcomes due to COVID-19"Home health workers employed through an agency; Unpaid caregivers not included.https://coronavirus.ohio.gov/wps/portal/gov/covid-19/covid-19-vaccination-program
OklahomaEligibility for anyone 16+122Currently eligibleCurrently eligibleLong-term care residents and staff served by LTC Pharmacy Partnership Program: Nursing homes, skilled nursing facilities, long-term care facilities, Assisted Living, Intermediate Care Facilities, Group HomesStaff and residents in congregate locations and worksites including but not limited to:
• Homeless shelters
• Public and private, state and municipal prisons/jails, not including those facilities served by the
Federal Bureau of Prisons and involved in the federal allocation plan
• Certain manufacturing facilities with limited social distancing capacity who are critical to the
maintenance of the food supply
• Public transit systems that do not allow for appropriate social distancing
Adults with one or multiple comorbid conditions including not limited to hypertension, obesity, cardiovascular disease, diabetes mellitus, chronic lung, liver or renal disease, cancers, who are at high risk of mortality and severe morbidity resulting from COVID infection.N/APaid home health workers; Unpaid caregives not includedhttps://vaccinate.oklahoma.gov/
Oregon1B, Group 71A, Group 11A, Group 21B, Group 6 / 1B, Group 71B, Group 6, 1B, Group 71A, Group 3Skilled nursing and memory care facility healthcare personnel (HCP) and residentsGroup homes for people with intellectual and developmental disabilitiesPeople ages 16+ with underlying conditions that put them at moderately higher risk. Underlying conditions include: Cancer, Chronic kidney disease, COPD (chronic obstructive pulmonary disease), Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies, Immunocompromised state (weakened immune system) from solid organ transplant or HIV, Obesity (BMI greater than or equal to 30 kg/m2), Pregnancy, Sickle cell disease, Type 2 diabetes mellitus.Down Syndrome (16+)Paid or unpaid providers, support staff and Personal Support Workers (PSWs) who deliver care in a person’s own home or in a Supported Living setting; parents and household members, including foster care parents, of children and adults with intellectual and developmental disabilities, including those that are medically fragile /https://covidvaccine.oregon.gov/
Pennsylvania1B1A1B1A1A1ALong-term care facility residents and direct support professionalsPeople in congregate settings not otherwise specified as long-term care facilities, and persons receiving home and community-based servicesPersons ages 16-64 with these high risk conditions: Cancer
Chronic kidney disease
COPD
Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
Immunocompromised state (weakened immune system) from solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2)
Severe Obesity (BMI ≥ 40 kg/m2)
Pregnancy
Sickle cell disease
Smoking
Type 2 diabetes mellitus
Down SyndromeDirect support professionalshttps://www.health.pa.gov/topics/disease/coronavirus/Vaccine/Pages/Vaccine.aspx
Puerto Rico1B1AN/A1C1C1AResidents and staff of long-term care facilities, community centers, and homes for those with intellectual disabilitiesN/APeople 16 and older with underlying
medical conditions
Cancer
Chronic kidney diseaseCOPD (chronic obstructive
pulmonary disease)
Heart conditions, such as
heart failure, coronary
artery disease, or
cardiomyopathies
Immunocompromised state
(weakened immune system)
from solid organ transplant
Obesity (body mass index
[BMI] of 30 kg/m2 or higher
but < 40 kg/m2)
Severe Obesity (BMI ≥ 40
kg/m2)
Sickle cell disease
Smoking
Type 2 diabetes mellitus
N/AHealth professionals who don't work in a hospitalhttps://www.vacunatepr.com/covid-19
Rhode IslandEligibility groups not numberedCurrently eligibleCurrently eligibleCurrently eligibleCurrently eligibleCurrently eligibleGroup homes, nursing homes, assisted livingAll congregate settingsType 1 Diabetes, Type 2 Diabetes, Lung disease, COPD (chronic obstructive pulmonary disease), Emphysema, Cystic Fibrosis, People with significant decreased lung function, People with ALS (Lou Gehrig’s disease), Heart disease, Congestive heart failure, Coronary artery disease, People with enlarged hearts (cardiomyopathies), People with other significant heart conditions, Kidney disease, People on dialysis, Significant chronic kidney disease, Cancer, People who get chemotherapy or radiation, People who have had a transplant or are waiting for a transplant, HIV/AIDS, Sickle cell disease, People who have a disease that weakens the immune system, People who take medicine that weakens the immune system, PregnancyDown SyndromeProviders of direct home services for health, safety, and developmental needshttps://covid.ri.gov/vaccination
South CarolinaEligibility for anyone 16+1A1A1B1B1AResidents and staff of Long-Term Care Facilitiescongregate settings and LTCF seem to be defined the samePeople aged 16-54 with one or more of the following high-risk medical conditions: Cancer (current, not a history of cancer), chronic kidney disease (any stage), chronic lung disease, diabetes (Type 1 and Type 2), Down syndrome, heart disease (congestive heart disease, coronary artery disease, cardiomyopathy, pulmonary hypertension), HIV/AIDS, solid organ transplant, obesity (BMI >30), pregnancy, sickle cell diseaseDown SyndromeHome caregivers for children who have a tracheostomy, are ventilator-dependent or who have a Medically Complex Children's Waiverhttps://scdhec.gov/covid19/covid-19-vaccine
South DakotaEligibility for anyone 16+1B1D1D1DN/ALong-term care facility residentsResidents in congregate settings, residents in licensed independent living facilities, and residents of licensed group homesPersons with underlying medical conditions under the age of 65:
- Asthma (moderate-to-severe)
- Cancer
- Cerebrovascular Disease (affects blood vessels and blood supply to the brain)
- Chronic Kidney Disease
- COPD (Chronic Obstructive Pulmonary Disease)
- Cystic Fibrosis
- Diabetes Mellitus (type 1 and type 2)
- Heart Conditions, such as Heart Failure, Coronary Artery Disease, or Cardiomyopathies
- Hypertension or High Blood Pressure
- Immunocompromised State (weakened immune system)
- Liver Disease
- Neurologic Conditions, such as Dementia
- Pregnancy
- Pulmonary Fibrosis (having damaged or scarred lung tissues)
- Severe Obesity <40 BMI
- Sickle Cell Disease
- Thalassemia (a type of blood disorder)
Down SyndromeN/Ahttps://doh.sd.gov/COVID/Vaccine/
TennesseeEligibility for anyone 16+1A, Tier 11A, Tier 11C1A, Tier 11Clong-term care facilities including skilled nursing facilities, assisted living centers, homes for the aged, congregate care centers for individuals receiving services provided by the Tennessee Department of Intellectual and Developmental Disabilities.Most congregate care settings grouped with LTCF (i.e. skilled nursing facilities, assisted living centers, homes for the aged, DIDD residential centers, group homes)persons 16 years and older with the following high-risk conditions:
- chronic renal disease
- COPD, pulmonary fibrosis, or moderate-severe asthma
- Obesity (BMI greater than or equal to 30)
- Heart failure, coronary artery disease, cardiomyopahties, hypertension
- sickle cell, thalassemia
- cerebrovascular disease, stroke
- dementia
- liver disease
- pregnancy
N/ACaregivers of children <16 years old who are technologically-dependent. Such as individuals who are ventilator-dependent, oxygen-dependent, with tracheostomy, wheelchair-bound due to high-risk medical condition, or require tube feedings, parenteral nutrition, or dialysis. Household residents and caregivers of children <16 years old who have immunocompromising conditions. Such as individuals receiving chemotherapy, requiring daily oral steroids or other immunosuppressants, those with HIV/AIDS or other diagnosed high-risk immunodeficiency.https://www.tn.gov/health/cedep/ncov/covid-19-vaccine-information.html
TexasEligibility for anyone 16+1A, Tier 1N/A1B1B1A, Tier 1Residents of long-term care facilitiesN/APeople 16 and older with any of the Centers for Disease Control and Prevention (CDC) health conditions that do or may increase the risk of severe illness or death from COVID-19. People with medical conditions listed there qualify for vaccination in Texas.Down SyndromeHome health care workers, including hospice care, who directly interface with vulnerable and high-risk patientshttps://www.dshs.state.tx.us/coronavirus/immunize/vaccine.aspx
U.S. Virgin IslandsEligibility for anyone 16+1AN/A1A / 1BN/AN/ALong-term care facility residentsN/AEnd stage renal disease / people aged 16-64 with recognized comorbidities; Carribean Kidney Center (Staff and Patients)N/AN/Ahttps://www.covid19usvi.com/vaccines
UtahEligibility for anyone 16+Currently eligibleN/ACurrently eligibleCurrently eligibleN/ALong-term Care Facility residentsN/APersons 16 years and older with any of the following:
- Asplenia including splenectomy or a spleen dysfunction
- Body Mass Index (BMI) of 40 or higher (this is also called Class III or severe obesity)
- Body Mass Index (BMI) of 30 or higher
- Chronic heart disease (not hypertension) including chronic heart failure, ischaemic heart disease, and severe valve or congenital heart disease
- Stage 4 or stage 5 chronic kidney disease
- Chronic kidney disease
- Chronic liver disease including chronic hepatitis B or C, alcohol-related liver disease, primary biliary cirrhosis, or primary sclerosing cholangitis or hemochromatosis
- Cancer diagnosed within the last 5 years that began in the blood, bone marrow, or cells in the immune system. This type of cancer is called hematologic cancer (such as leukemia, lymphoma, and multiple myeloma).
- Cancer diagnosed within the last 1 year that didn’t begin in the blood or bone marrow. This type of cancer is called non-hematologic cancer (excluding basal and squamous cell cancer diagnoses).
- Uncontrolled diabetes with an A1c of 9% or higher
- Diabetes (Type I or Type II)
- Immunocompromised state (weakened immune system) from blood, bone marrow, or organ transplant; HIV; long-term use of corticosteroids; or other medicines that weaken the immune system
- Receiving dialysis for severe kidney disease
- Receiving immunosuppression therapy
- Sickle cell disease
- Severe chronic respiratory disease (other than asthma) including severe chronic obstructive pulmonary disease, fibrosing lung disease, bronchiectasis, or cystic fibrosis
- Solid organ transplant recipient
- Stroke and dementia (Alzheimer’s, vascular, or frontotemporal)
- Neurologic conditions that impair respiratory function, including cerebral palsy, Down syndrome, epilepsy, motor neuron disease, multiple sclerosis, myasthenia gravis, Parkinson’s disease, progressive cerebellar disease, and quadriplegia or hemiplegiaN/Ahttps://coronavirus.utah.gov/vaccine-distribution/
VermontEligibility groups not numberedCurrently eligibleN/ACurrently eligibleCurrently eligibleCurrently eligibleResidents of long-term care facilities (skilled nursing facilities, nursing homes, and assisted living facilities)community-specific clinics for people who are English language learners or immigrant/refugee community membersIndividuals 55+ with certain high-risk health conditions including: Current cancer
Chronic kidney disease
COPD, including emphysema and chronic bronchitis
Heart disease, including heart attack, heart failure, congestive heart failure, coronary artery disease (angina, acute and chronic ischemic heart disease), cardiomyopathies, and pulmonary hypertension. Does NOT include high blood pressure.
Immunocompromised (weakened immune system), due to solid organ transplant, blood, or bone marrow transplant, immune deficiencies, or other causes; or HIV with a low CD4 cell count or not on HIV treatment; prolonged use of corticosteroids or other immune-suppressing drugs.
Severe obesity (BMI of 40 or above) Easy-to-use BMI calculator(link is external)
Pregnancy
Type 1 and Type 2 diabetes
Sickle cell disease / Individuals 16+ with certain high risk health conditions (listed above)
People who are homebound / Disabilities including chromosomal disorders, such as Down syndrome; intellectual disabilities (IQ of 70 or below); disabilities that compromise lung function (neurologic and muscular conditions such as muscular dystrophy, spina bifida, cystic fibrosis, and multiple sclerosis).Home health care clinical staff and caregivers who see multiple patients in person or who are high-risk for serious illness from COVID-19; Family caregivers are not included in this definition.https://www.healthvermont.gov/covid-19/vaccine
Virginia1C1A1B1B1B1ALong term care facility residents:
 Skilled Nursing Facility
 Assisted Living Facility
 Homes for the Aged
 Intellectual and Developmental Disabilities Residential Center
 Group Home
 State Veterans Homes
 Family Care Homes
People Living in Correctional Facilities, Homeless Shelters, and Migrant Labor CampsPeople aged 16 through 64 years with a High Risk Medical Condition or Disability that Increases Their Risk of Severe Illness from COVID-19 (Per CDC Guidelines); Healthcare providers may use clinical judgement to determine if a patient’s medical condition or disability warrants prioritization for vaccination.Down syndrome; Healthcare providers may use clinical judgement to determine if a patient’s disability warrants prioritization for vaccination.Primary caregivers for persons with severe chronic medical conditions or with intellectual or developmental disabilities requiring a high level of daily care ; Home health workers (e.g., nursing, respiratory therapists, health aides) who enter the need to go into the homes of individuals with chronic, complex conditions and/or disabilities to deliver nursing and/or daily living care;
Home health providers who deliver health care services for older adults, people with disabilities, and others with chronic health conditions who live independently in the community with supports and services
https://www.vdh.virginia.gov/covid-19-vaccine/
Washington1B, Tier 3 & 41A1B, Tier 41B, Tier 3N/A1A, Tier 1Residents of long-term care facilities and other community-based, congregate living settings where most individuals over 65 years of age are receiving care, supervision, or assistance and are unable to reside independently in the communityPeople (residents, staff, volunteers) in certain congregate living settings - specifically, correction facilities, prisons, jails, detention centers; group homes for people with disabilities; and congregate settings (e.g., shelters, temporary housing) for people experiencing homelessness that access services or live in such congregate settings (e.g., shelters, temporary housing)People 16 years and older with 2 or more co-morbidities or underlying conditions (See CDC's list of conditions that put people at increased risk of severe illness from COVID-19)N/Acaregivers: eligible caregivers (licensed, unlicensed, paid, unpaid, formal, or informal) who support the daily, functional and health needs of another individual who is at high risk for COVID-19 illness due to advanced age, long-term physical condition, co-morbidities, or development or intellectual disability. For the caregiver to be eligible, the care recipient: o Must be someone who needs caregiving support for their daily, functioning, and health needs o Can be an adult or minor child. For dependent minor children, the caregiver is eligible if that child has an underlying health condition or disability that puts them at high risk for severe COVID-19 illness. For example: a caregiver of a minor child with Down syndrome.https://www.doh.wa.gov/Emergencies/COVID19/vaccine
West VirginiaEligibility for anyone 16+1AN/A2A2A2Along-term care and assisted living residentsN/AAll individuals 16 and older with any of the following:
Organ or bone marrow transplant
Obesity (BMI > 35)
Sickle cell anemia
Cystic fibrosis
Pregnancy
Asthma
Diabetes Mellitus
Chronic kidney disease
Heart disease
Immunosuppression
Lung fibrosis
Blood disorders
Liver disease
COPD
Neurological disorders
High Blood Pressure
Chronic infectious disease like HIV
Down syndrome; People with intellectual and developmental disabilitiesCaretakers of those with intellectual and developmental disabilities; caretakers of those with congenital or acquired diseasehttps://dhhr.wv.gov/COVID-19/Pages/Vaccine.aspx
WisconsinEligibility for anyone 16+Currently eligibleCurrently eligibleCurrently eligibleCurrently eligibleCurrently eligibleAdults who reside in facilities that provide a variety of services, including medical and personal care, to persons who are unable to live independently.Residents living in congregate care facilities: Employer-based housing, Housing serving the elderly or people with disabilities, Shelters, Transitional housing, Incarcerated individualsIndividuals age 16 and older with certain medical conditions that have a greater risk of severe infection from COVID-19 will be eligible (CDC list, excluding smoking):
Asthma (moderate-to-severe)
Cancer
Cerebrovascular disease (affects blood vessels and blood supply to the brain)
Chronic kidney disease
COPD (chronic obstructive pulmonary disease)
Cystic fibrosis
Diabetes mellitus type 1 or 2
Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
Hypertension or high blood pressure
Immunocompromised state (weakened immune system) from solid organ transplant, blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
Liver disease
Obesity (body mass index [BMI] of 30-39 kg/m2)
Overweight (BMI of 25-29 kg/m2)
Pregnancy
Pulmonary fibrosis (having damaged or scarred lung tissues)
Severe Obesity (BMI 40 kg/m2 or more)
Sickle cell disease
Thalassemia (a type of blood disorder)
Neurologic conditions, such as intellectual disabilities and dementia; Down syndrome
Direct care personnel, for example, people who provide direct care to patients, including in their homes (for example, personal care assistant; home health worker; adult day service providers; paid and unpaid caregivers in Family Care, Family Care Partnership, and IRIS; paid and unpaid caregivers of children in special needs programs, including Children’s Waivers, CCOP, B3, Children with Medical Complexity, CCF WAM and Katie Beckett Medicaid); Long-term care facility personnel (including those that work in 1-2 bed adult family homes and as supported living providers);https://www.dhs.wisconsin.gov/covid-19/vaccine-about.htm
WyomingEligibility varies by county. In most counties, individuals 16+ are eligible.1A1C1B / 1B / 1C1B1A / 1Blong-term care and assisted living facility residentsIntermediate care facility staff and residents / Residents of congregate care or living settings including prisons and jails; individuals living in college dormitoriesThose with the following conditions: cancer (current diagnosis of cancer), chronic kidney disease, chronic obstructive pulmonary disease (including emphysema, pulmonary fibrosis, cystic fibrosis, and chronic bronchitis), solid organ transplant, sickle cell disease, and pregnancy (WDH recommends that pregnant women
discuss vaccination with their healthcare provider in advance.) / Those with the following conditions: diabetes; heart
conditions (such as heart failure, coronary artery disease and cardiomyopathies); obesity (BMI over 30); immunocompromised state from solid organ transplant, blood or
bone marrow transplant, immune deficiencies, long term high dose corticosteroids, or other immune weakening
medicines; cerebrovascular disease (including stroke); severe neurologic conditions (including motor neuron
disease, myasthenia gravis, multiple sclerosis, Parkinson’s
disease, cerebral palsy, quadriplegia or hemiplegia, progressive cerebellar disease, epilepsy, or dementia)
/ those with the following conditions: moderate-to-severe asthma; hypertension or high blood pressure; liver disease; overweight (BMI 25-30); Thalassemia.
Down syndrome; People on the Wyoming Medicaid Developmental Disabilities waiversHome health healthcare providers, including aging network in-home providers / Caregivers who are caring for a person who is at high risk of COVID-19 illness as defined in Phase 1B groups in the right column above and cannot receive the vaccine and caregivers of those defined in Phase 1B who are the primary caregiverhttps://health.wyo.gov/publichealth/immunization/wyoming-covid-19-vaccine-information/

New this week:

The data in Table 1 were collected from publicly available data on state or territory health department websites from March 24 to March 30, 2021, using the most currently available vaccine plans available.

Snapshot of changes:

  • 39 states and territories have COVID-19 vaccines available to everyone ages 16 and up.
  • Alabama, Arkansas, Colorado, Connecticut, Delaware, Florida, Hawaii, Idaho, Kansas, Kentucky, Maine, Michigan, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Wyoming extend eligibility to everyone 16+.
  • Maryland extends eligibility to anyone 16+ at all mass vaccination sites; and anyone 16+ on April 12 through all providers.
  • Oregon open to people age 16+ with at least one chronic condition as defined by state guidelines (Underlying conditions include: Cancer, Chronic kidney disease, COPD (chronic obstructive pulmonary disease), Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies, Immunocompromised state (weakened immune system) from solid organ transplant or HIV, Obesity (BMI greater than or equal to 30 kg/m2), Pregnancy, Sickle cell disease, Type 2 diabetes mellitus, Down Syndrome).
  • Northern Mariana Islands is now vaccinating residents of Saipan ages 16+ and Tinian and Rota ages 18+

This dashboard is updated on Wednesdays. The next update will be on April 14, 2021.

Methods

People with disabilities can fall into any vaccine prioritization category—including healthcare providers, teachers, older adults, etc. This dashboard includes these five categories, which include many members of the disability community, to provide a centralized resource on varying vaccine prioritization. Data on vaccine prioritization of these five groups is collected from state or territory health department websites by scanning for keywords such as chronic conditions, congregate care, group homes, long-term care, and developmental disabilities. The most up-to-date information available is abstracted and recorded, and each week a random sample of 10 states or territories undergo double data abstraction and data entry for quality control. Sources for these data are shown in Table 1.

Considerations

Because COVID-19 vaccine prioritization is rapidly evolving, some states or territories may no longer be in the phase noted in Table 1 or may have adjusted their vaccination plan since publication. Additionally, these data are limited to vaccine prioritization data published on publicly government webpages and do not include data from other sources, including meeting minutes or media coverage. Please note that the language in the table is taken from the states’ websites, so in some cases, it may not be language preferred by the disability community.

To find the most current information on whether you qualify for the vaccine in your state or jurisdiction, consult your local health department and your provider.

Accessibility

If an alternate format is more accessible to you, here is the Google Sheets spreadsheet of the above data. You can also download the above data in an Excel, CSV, or PDF format.

If you have questions or need the data in an alternate accessible format, you can contact our team at disabilityhealth@jhu.edu.

Johns Hopkins University shield above text reading "Johns Hopkins Disability Health Research Center" in dark blue
The logo of the Center for Dignity in Healthcare for People with Disabilities includes 4 outward facing half circles arranged in the shape of a square. Each half circle has two small circles inside that could be interpreted as heads of people inside the circles. The half circle on the left is blue and the one on the right is green. The upper half circle and lower half circle are half blue/half green. The words 'Center for Dignity in Healthcare for People with Disabilities' is to the right of the logo.