Immunizations: Adolescents Tip Sheet
The percentage of adolescents 13 years of age who had a meningococcal conjugate, Tdap, and two doses of HPV vaccine by their 13th birthday include:
1 dose meningococcal conjugate
1 dose tetanus, diphtheria, and pertussis (Tdap)
2 doses of HPV
Incentives will be paid on an annual basis, following the end of quarter 4. For additional information refer to the 2021 CBI Technical Specifications.
Data for this measure will be collected using provider data submissions via the Data Submission Tool on the Provider Portal, claims and immunization registries.
- Run a report from your EHR system
- Manually compile patient data (Example: Download monthly breast cancer screening quality report on the Provider Portal and compare to EHR)
This measure allows providers to submit immunization codes from the clinic EMR/EHR system or paper records to the Alliance at the end of the measurement year by uploading data files to the Data Submission Tool on the Provider Portal. The files are required to be submitted as a CSV file to be accepted. A Data Submission Tool Guide is available on the Provider Portal to provide you with step-by-step instructions.
Members meet the IMA requirements when they have received one dose of meningococcal; one dose of tetanus, diphtheria toxoids and acellular pertussis (Tdap); and two doses of human papillomavirus (HPV) vaccine.
- At least one vaccine administered with a date of service on or between the member’s 11th and 13th birthdays
- Acceptable code: 90734 (Menactra, Menveo)
- At least one vaccine administered with a date of service on or between the member’s 10th and 13th birthdays
- Acceptable code: 90715 (Adacel, Boostrix)
- Two* vaccines administered with a date of service on or between the member’s 9th and 13th birthdays with services dates at least 146 days a part or at least three HPV vaccines with different service date on or between the member’s 9th and 13th
- HPV vaccination routinely recommended at age 11–12 years (can start at age 9 years)
- Acceptable codes: 90649, 90650, 90651
*In October 2016, the CDC announced new recommendations for the HPV vaccine. For persons initiating vaccination prior to their 15th birthday, only two doses of HPV vaccine are recommended. https://www.cdc.gov
Members may be excluded from the measure if there is a contraindication to the vaccine or its components. Medical exemptions must be reported any time on or before the member’s 13th birthday.
- Know your vaccination rates. Utilized the Alliance’s Provider Portal reports to monitor your clinic’s vaccine rates.
- Voice your strong support of immunization – confident recommendation and education by a healthcare professional is the main reason parents decide to vaccinate.
- Recommend the HPV vaccine the same day and the same way you recommend all other vaccines. For example, “Now that Miguel is 11, he is due for vaccinations to help protect against meningitis, HPV cancers, and whooping cough. We’ll give those shots during today’s visit. Do you have any questions about these vaccines?”
- Motivate your team and encourage their immunization conversations with parents.
- Empower staff to chart prep to review the schedule of immunizations to avoid any missed opportunities.
- Maintain strong doctor-patient relationships to help with challenging immunization conversations.
- Learn how to answer some of parents’ most common questions about the HPV vaccine and others.
- Use personal examples of how you choose to vaccinate children in your family.
- The Alliance’s Immunization Resource Page: https://thealliance.health/for-providers/manage-care/quality-of-care/immunization-resources/
- CDC’s Top 10 Tips for HPV Vaccination Success: Attain and Maintain High HPV Vaccination Rates https://www.cdc.gov/hpv/hcp/2-dose/top-10-vaxsuccess.html