Hi PDHardy,
The numerator will actually only trigger with patients who are 2 years and older. The vaccination can be given to the patient before the age of 2, but the patient will not trigger the CQM until they hit 2 years of age.
Here is the description from CMS about the rule:
"The percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV); one measles, mumps and rubella (MMR); two H influenza type B (HiB); three hepatitis B (Hep B), one chicken pox (VZV); four pneumococcal conjugate (PCV); two hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday. The measure calculates a rate for each vaccine and two separate combination rates."
As always, feel free to contact me directly with any questions. My email address is mdabeck@amazingcharts.com