Immunizations: Children (Combo 10) Tip Sheet

Incentives will be paid on an annual basis, following the end of Quarter 4. For additional information, refer to the CBI Technical Specifications.

Members who had any of the following on or before their second birthday: Severe combined immunodeficiency, immunodeficiency, HIV, lymphoreticular cancer, multiple myeloma, or leukemia, or intussusception.

Members in hospice or using hospice services anytime during the measurement year.

Members who died during the measurement year (CBI 2024 only).

To view applicable codes for the measure, see the CBI Technical Specifications.

To view applicable codes for the measure, see the CBI Technical Specifications.

Note: All codes indicating anaphylaxis from vaccines are SNOMED codes that cannot be sent through a claim and must be electronically received.

This measure allows providers to submit immunization codes from the clinic EHR system or paper records to the Alliance by the DST contractual deadline.

To submit, you may upload data files to the DST on the Provider Portal. To be accepted, data must be submitted as a CSV file. Step-by-step instructions are available in the Data Submission Tool Guide on the Provider Portal.

• Review standing orders to ensure that vaccinations are available during all visits, including sick or well-visits, regular hours or weekend clinics.
• Ensure staff has current accounts with your local immunization registry, and staff are trained to enter both administered vaccines and vaccines from health records into the registry.
• Check the registry prior to administering any vaccines to ensure the child has not already received the vaccine.
• Keep clinical staff up to date with current recommendations and communication tools, such as the CDC’s Provider Resources for Vaccine Conversations with Parents.
• Always screen for contraindications. Most vaccines can be given even if the child has a mild illness.
• Know your vaccination rates. Utilize 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 health care professional is the main reason parents decide to vaccinate.
• Remind parents about upcoming appointments. Give reminders by phone, text, email or postcard.
• Empower staff to chart prep to review the schedule of immunizations and avoid any missed opportunities.
• Share reliable sources of immunization information with parents, such as Reliable Sources of Immunization Information: Where Parents Can Go to Find Answers! .
• Provide members with a copy of the CDC vaccine schedule:
  • CDC Vaccine Schedule - English
  • CDC Vaccine Schedule – Spanish
• Use personal examples of how you choose to vaccinate children in your family.
• Utilize an immunization checklist to improve your clinic’s vaccine compliance, such as the Immunization Action Coalition (IAC’s) Suggestions to Improve Immunization Services.
• Route after-hours calls from Alliance members to the Alliance’s Nurse Advice Line: 844-971-8907.

• Alliance interpreting services are available to network providers:
  • Telephonic interpreting services are available to assist in scheduling members.
  • Face-to-face interpreters can be requested to be at the appointment with the member.

  For information about our Cultural and Linguistic Services Program, please call the Alliance Health Education Line at 800-700-3874, ext. 5580 or email us at [email protected].

• Refer patients who have transportation challenges to the Alliance’s Transportation Coordinator at 800-700-3874, ext. 5577. This service is not covered for non-medical locations or for appointments that are not medically necessary.
• Alliance Immunization Resources
• California Immunization Registry (CAIR2) for Santa Cruz and Monterey Counties
• Healthy Futures Public Health Information System (RIDE) for Merced County
• Vaccines for Children (VFC) Program
• California Immunization Coalition.
• A step-by-step guide to improving vaccine uptake in outpatient settings
• Fall 2022 Influenza Vaccination Talking Points
• 2022-23 Late Influenza Vaccine Talking Points
• Don’t Wait-Vaccinate Campaign Talking Points