Low Pre-Adolescent Vaccine Rates: Best Practices for Promoting Vaccines for STAR Kids

Updated February 28, 2022

Provider Action Requested: Increase number of members receiving all recommended pre-adolescent vaccines including HPV.

Immunizations for Adolescents (IMA-2) rates of preteens receiving all meningococcal, Tdap, and HPV vaccines are lower for any single vaccine given to preteens. BCBSTX goals for 2022 are to increase the rate of preteens (ages 9 through 12) receiving all three recommended vaccine series to prevent infections, illnesses, and cancers.

Best practices for completing immunizations for pre-adolescents:

The Texas Health Steps website offers up-to-date information on periodicity schedules, checkup components, and trainings as resources to providers.


Reference and review the BCBSTX Preventive Care Guidelines (PCGs) , Clinical Practice Guidelines (CPGs)  and THSteps for Medical Providers  which includes all current vaccine schedules, ImmTrac2, and other important guidance for treating your patients.

The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.