Keeping up with routine vaccination during COVID-19
Well-child visits and vaccinations are essential services
In May 2020, the CDC released a report showing a drop in routine childhood vaccinations as a result of COVID-19; a result of stay-at-home orders and concerns about infection during well-child visits. Both the American Academy of Pediatrics and the CDC recommend the continuation of routine childhood vaccinations during the COVID-19 pandemic, noting they are essential services.
To encourage well-visits and vaccinations, here are some extra steps you can take to ensure visits are as safe as possible for both patients and staff. They include:
- Scheduling sick visits and well-child visits during different times of the day.
- Asking patients to remain outside until it’s time for their appointment to reduce the number of people in waiting rooms.
- Offering sick visits and well-child visits in different locations.
It is important to identify those children who have missed immunizations and well-child visits to schedule these essential in-person appointments. To help, the CDC has published vaccine catch-up guidance on their website.
Help your patients earn rewards
For additional encouragement, Anthem Blue Cross and Blue Shield (Anthem) members can earn $25 or more in gift cards for completing vaccines and/or well visits through our Healthy Rewards program. Please encourage your patients to enroll in the program on the Anthem website so they can earn rewards for these activities.
0 to 1 (before 2nd birthday)
11 to 12 (before 13th birthday)
3 to 21
Patients can enroll online at https://mss.anthem.com/ky or by calling 888-990-8681 (TTY 711).
Helpful information for keeping babies and children healthy:
Childhood Immunization Status (CIS) HEDIS® measure requires that all children are immunized by their 2nd birthday:
- Four DTap (diphtheria, tetanus and acellular pertussis)
- Three IPV (polio)
- One MMR (measles, mumps, rubella)
- Three HiB (H influenza type B)
- Three Hep B (hepatitis B)
- One VZV (chicken pox)
- Four PCV (pneumococcal conjugate)
- One Hep A (hepatitis A)
- Two or three RV (rotavirus)
- Two influenza (flu)
- CPT®: 90707, 90710
- ICD-10-CM: B05.0-4, B05,81, B05.89, B05.9
- ICD-10-CM:0-3, B26.81-85, B26.89, B26.9
- ICD-10-CM:-00-02, B06.09, B06.81-82, B06.89, B06.9
- Rubella antibody:
- CPT: 86762
- Hepatitis A:
- CPT: 90633
- ICD-10-CM:0, B15.9
- CPT: 90655, 90657, 90662, 90673, 90685, 90686-90689
- HCPCS: G0008
- Rotavirus vaccine (RV):
- CPT: 90681 (two-dose), 90680 (three-dose)
Children should be fully immunized by 13 years of age to meet the Immunization for Adolescents (IMA) HEDIS measure:
- One meningococcal vaccine (MCV) injection between 11 and 13 years of age
- One tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap/Td) between 10 and 13 years of age
- Two or three HPV vaccines between 9 and 13 years of age
- CPT: 90734
- CPT: 90715
- CPT: 90649, 90650, 90651
Please refer to the Anthem HEDIS coding booklet for coding guidelines.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
August 2021 Anthem Provider News - Kentucky