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Using the Registry in Partnerships with Medicaid MCOs to Increase Compliance with Immunization Requirements: Status at One Year
Cherie Thomas1, Rosie McLaren2, and Karyn L. Berry2. (1) (for the Washington, DC Immunization Program), Trey Industries, Inc, PO Box 2508, Locust Grove, VA, USA, (2) District of Columbia Department of Health, 1131 Spring Road, NW, Washington DC, DC, USA
BACKGROUND:
This presentation is a 1-year follow-up on the partnership’s results. Since 1992, the DC Immunization Registry has been used to analyze immunization levels for the national and local surveys. In October 2001, an intensified partnership with the local Medicaid Program began; the Immunization Registry was expanded into a joint EPSDT-Immunization Tracking System. The system is used to measure the Medicaid GPRA Immunization rates; to conduct CASA-AFIX; to provide summary and client-specific immunization data to Medicaid managed care organizations (MCOs) for reports and follow up. By the 1-year anniversary of the MCO partnership, immunization rates of 2-year-old, 0-4-year-olds and school-age Medicaid clients had increased 10%.
OBJECTIVE:
1. Continue working partnership between DOH Immunization, Medical Assistance Administration (Medicaid), MCOs, and other key stakeholders.
2. Identify and track immunization compliance levels for Medicaid children at various ages.
3. Continue an on-going system to increase immunization rates by follow up with non-compliant clients.
METHOD:
Monthly and quarterly immunization compliance levels in each MCO are reported to the MCOs. The MCOs are provided with recall/reminder lists of clients 0-18, including school-age children who are "non-compliant" with immunization requirements. Reminder/recall of non-compliant clients is conducted. Updated records for clients are delivered to the Immunization Program from providers for entry into the Registry.
RESULT:
Registry-based Medicaid immunization rates increased 10%. Efficient system was established to methodically track and follow up on immunizations into the future.
CONCLUSION:
Through partnerships with key stakeholders, Immunization registries can be an integral component of monitoring and ensuring immunization compliance in a Medicaid managed care population.
LEARNING OBJECTIVES:
To examine the role of a registry in a partnership to monitor immunization compliance in a common client population.
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