Massachusetts Childcare Licensing
Massachusetts Childcare Immunization Requirements (2026)
Children enrolled in a licensed Massachusetts childcare center must show proof of age-appropriate immunization. Massachusetts requires documentation for 10 vaccine series, with limited medical and legally permitted exemptions.
Licensing Agency
Massachusetts Department of Early Education and Care →Last updated: April 2026
Researched by the TotReady Research TeamMassachusetts Immunization Requirements: The Specifics
Massachusetts childcare licensing requires age-appropriate DTaP immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Polio immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate MMR immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Varicella immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Hib immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Hepatitis B immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Hepatitis A immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Pneumococcal immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Meningococcal immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts childcare licensing requires age-appropriate Influenza immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Massachusetts Immunization Requirements Checklist
- DTaP
- Polio
- MMR
- Varicella
- Hib
- Hepatitis B
- Hepatitis A
- Pneumococcal
- Meningococcal
- Influenza
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Massachusetts Immunization Requirements: Frequently Asked Questions
Which vaccines does Massachusetts require for childcare enrollment?
Massachusetts requires age-appropriate immunization records for: DTaP, Polio, MMR, Varicella, Hib, Hepatitis B, Hepatitis A, Pneumococcal, Meningococcal, Influenza.
Are immunization exemptions allowed in Massachusetts?
Massachusetts permits documented medical exemptions and, where state law allows, certain non-medical exemptions. Confirm the current exemption rules with the Massachusetts Department of Early Education and Care.
When must immunization records be on file in Massachusetts?
Massachusetts requires up-to-date immunization documentation at enrollment, with records kept current in each child's file thereafter.
Massachusetts childcare licensing rules are amended regularly. This page is compiled from published Massachusetts administrative codes and statutes for informational purposes only — always verify current requirements with the Massachusetts Department of Early Education and Care before relying on them. TotReady provides information and document templates, not legal or regulatory advice.