Category: Cinga Insurance

This measure represents the percentage of children who turned 13 years old and received the following immunizations before their 13th birthday.

• One dose of meningococcal vaccine
• One tetanus, diphtheria toxoids and one acellular pertussis vaccine (Tdap): and
• Completed the human papillomavirus (HPV) series.*

*HPV requires 2 shots, at least 146 days apart.

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Meningococcal recombinant (serogroup B) (MenB) vaccines- DO NOT COUNT towards the HEDIS measure.

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For Meningococcal Serogroups A, C, W, Y:

• At least one meningococcal serogroups A, C, W, Y vaccine, with a date of service on or between the member’s eleventh and 13th birthdays
• Anaphylaxis due to the meningococcal vaccine any time on or before the member’s 13th birthday meets criteria

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For Tdap: generic documentation (Tdap/Td) can be counted towards this HEDIS measure.

• At least one tetanus, diphtheria toxoids and acellular pertussis (Tdap) vaccine, with a date of service on or between the member’s tenth and 13th birthdays.
• If patient has anaphylaxis due to Tdap vaccine during or before pt turns 13 years old
• Encephalitis due to the tetanus, diphtheria, or pertussis vaccine

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For HPV:

• At least two HPV vaccines on or between the member’s ninth and 13th birthdays and with dates of service at least 146 days apart
• At least 3 HPV vaccines – w/ different DOS before or on the date when patient turns 13 years of age
• Anaphylaxis due to the HPV vaccine any time on or before the member’s 13th birthday meets criteria

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Accepted documentation:

• A note with the specific antigen/vaccine and the date of administration of the vaccine
• A certificate of immunization prepared by an authorized health care provider or agency with information of each vaccine and their administration dates

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Not accepted documentation:

A note that says the member is up to date and does not have the actual vaccines listed w/ administration dates

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PROVIDERS-some things you can do in your practice in order to meet this measure:

• Have standing orders for adolescent vaccines- the visit can be performed by a Nurse
• Use appointment reminders to schedule vaccine appointments
• For HPV  vaccines make sure to schedule a f/u appt for the next dosage.
• Educate parents on the importance of the vaccines and their on time administration.

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