Objectives
1
 COMAR Immunization Requirements for School




Attendance
New Immunization Requirements for SY 2014-15
New DHMH 896 Form
Abbreviations for Common Childhood
Immunizations
Addressing Non-Compliance
COMAR Immunization Requirements for School
Attendance
2
 DHMH COMAR 10.06.04.03
 Immunizations for 12 Illnesses Required for School
Attendance
Each immunization has a specific number of doses required for
school attendance
 Some immunizations can be “waived” if there is proof that the
student is immune to the disease (blood titer or history of illness)
 Medical Exemptions are only for students that are unable to get a
vaccine because of a health reason or if the vaccine is not
medically indicated
 Documentation from a health care provider required

COMAR Immunization Requirements for School
Attendance
3
 Diphtheria, Tetanus,




Pertussis
Measles, Mumps,
Rubella
Polio
Varicella (Chickenpox)
Hepatitis B
 Pneumococcal
 Haemophilus influenza,
type B
 Tetanus, diphtheria,
pertussis booster
 Meningococcal
New Immunization Requirements for SY 2014-15
4
 2 doses of Varicella vaccine for entry into
Kindergarten
 1 dose of Tetanus, diphtheria, pertussis booster
vaccine for entry into 7th grade
 1 dose of Meningococcal vaccine for entry into 7th
grade
5
6
7
8
Review of the New DHMH 896 Form
9
 Revised February 2014
 Changes:
 The “LOST OR DESTROYED RECORDS” section was
removed
 Under “MEDICAL CONTRAINDICATION”, Health care
providers must document the “reason for the
contraindication”.
 “Immunization Requirements” on the reverse side of the
form have been updated to include the new requirements for
Tdap and MCV (meningococcal vaccine).
“Lost or
Destroyed
Records”
Section
removed
10
Abbreviations for Immunizations
Required Vaccine
Standard U.S.
Abbreviation
Name on 896 Form
Name in SMS
11
Diphtheria
DT/DTP/DTaP
DTP-DTaP-DT/Td
DTP/DTaP*
(Diphtheria/Tetanus)
Pertussis
DT/DTP/DTaP
DTP-DTaP-DT
DTP/DTaP*
(Diphtheria/Tetanus)
Tetanus
DT/DTP/DTaP
DTP-DTaP-DT/Td/Tdap
DTP/DTaP*
(Diphtheria/Tetanus)
Measles
MMR/MMRV
MMR
Measles
Mumps
MMR/MMRV
MMR
Mumps
Rubella (German Measles
MMR/MMRV
MMR
Rubella (German
Measles)
Polio
IPV
Polio
Polio
Varicella (Chickenpox)
VAR/MMRV
Varicella
Varicella (Chickenpox)
Hepatitis B
HepB
Hep B
Hepatitis B
Haemophilus influenza,
type B
Hib
Hib
HIB
Pneumococcal
PCV7/PCV13/PPSV23
PCV
PCV7*
Meningococcal
MCV/MenACWY/MCV4/
Hib-MenCY/MPSV4
MCV
Meningococcal*
Tetanus, diphtheria,
pertussis booster
Tdap
Tdap
Tdap*
Data Entry into SMS Immunization Module
12
 Varicella
 Enter information for both doses under the “Required” tab
 Tdap
 Enter information for this dose under the “Recommended” tab

Drop down option
 Meningococcal
 Enter information for this dose under the “Recommended” tab

Drop down option
 Eventually, Tdap and Meningococcal data fields will
be under the “Requried” tab
Addressing Non-Compliance
Review and Verify
• DHMH 896
• Maryland ImmuNET
• Additional documents if applicable
• Provide Report of Non-Compliant Students with Incorrectly Administered Vaccines
• Provide Immunization documents
Refer to the School • Registered School Nurse will consult with the Regional Nursing Supervisor if needed
Nurse for Review
Follow
Recommendations
• Notifty Parent/Guardian of Non-Compliance
OR
• Correct information in SMS
OR
• "Over-Ride" in SMS *(only the Medical Director has authorization to make this request, and will
notify the SSL)