Description: The percentage of adolescents 13 years of age who had one dose of meningococcal vaccine and one tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap) or one tetanus, diphtheria toxoids vaccine (Td) by their 13th birthday. The measure calculates a rate for each vaccine and one combination rate.


Denominator:

Product lines- Commercial, Medicaid, Marketplace (report each product line separately).

Age- Adolescents who turn 13 years of age during the measurement year.

Continuous enrollment- 12 months prior to the member’s 13th birthday.

 Allowable gap- No more than one gap in enrollment of up to 45 days during the 12 months prior to the 13th birthday.  

Anchor date- Enrolled on the member’s 13th birthday.

 Benefit- Medical.

Event/diagnosis- None.


Numerator:

For meningococcal and Tdap or Td, count only evidence of the antigen or combination vaccine.


Meningococcal  At least one meningococcal conjugate or meningococcal polysaccharide vaccine (Meningococcal Vaccine Administered Value Set), with a date of service on or between the member’s 11th and 13th birthdays.  


Tdap/Td Any of the following with a date of service on or between the member’s 10th and 13th birthdays meet criteria:

 • At least one tetanus, diphtheria toxoids and acellular pertussis (Tdap) vaccine (Tdap Vaccine Administered Value Set).  

• At least one tetanus, diphtheria toxoids (Td) vaccine (Td Vaccine Administered Value Set).

 • At least one tetanus vaccine (Tetanus Vaccine Administered Value Set) and at least one diphtheria vaccine (Diphtheria Vaccine Administered Value Set) on the same date of service or on different dates of service.


 Combination 1 (Meningococcal, Tdap/Td) Adolescents who are numerator compliant for both indicators (meningococcal, Tdap/Td)