Immunizations for Adolescents (IMA) – HEDIS Measure
Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.
Does the member* turn 13 years of age during the measurement year?
Does the member meet compliance for the specified individual/combination immunization(s) as outlined in the table below?
|Table 1: Immunizations for Adolescents and Age Criteria|
|Immunization Age Criteria||Combination Measures||Individual Measures|
|Combination 1||Combination 2||Meningococcal serogroups A, C, W, Y||Tdap||HPV|
|Meningococcal serogroups A, C, W, Y||On or between the 11th and 13th birthdays||Yes||Yes||Yes||-||-|
|Tdap||On or between the 10th and 13th birthdays||Yes||Yes||-||Yes||-|
|HPV*||On or between the 9th and 13th birthdays||-||Yes||-||-||Yes|
Member does not meet compliance for this measure
CVX 32 108 114 136 147 167 203
Meningococcal Vaccine Procedure
CPT 90619 90733 90734
SNOMED CT US Edition 390892002 428271000124109
Tdap Vaccine Procedure
SNOMED CT US Edition 428251000124104
CVX 62 118 137 165
HPV Vaccine Procedure
CPT 90649 90650 90651
SNOMED CT US Edition 428570002 428741008 428931000 429396009 734152003 734154002 99501000119107 140611000119104 16300531000119107
Member meets compliance for this measure.