MMR – Measles, Mumps & Rubella

Getting Started

We highly recommend that you watch the "Quick Start" episode of your program's video training before diving into individual requirements. All clinical and field programs at UConn require students to document immunity to MMR (Measles, Mumps, and Rubella) through positive titers (blood tests that measure immunity). Documentation of prior vaccination is not sufficient for compliance. Negative or equivocal primary titers will require booster(s) and repeat titers. You must submit all completed steps to ADB/Complio as you go. If you need to receive an MMR booster and then wait to have a repeat titer, the system will apply temporary compliance between steps – but only if all preceding steps are submitted and approved. You will not be able to begin your placement if compliance requirements are not met, and you will be removed from your placement if compliance lapses.

MMR Episode

Summary below in case you just need a quick reference of the steps. Also see your program's PDF compliance guide.

What to Do

  1. Request that your healthcare provider order the required MMR primary titers - Measles/Rubeola IgG Titer, Mumps IgG Titer, and Rubella IgG titer.
  2. Go to your provider's designated lab for your blood draw.
  3. Receive the results of your MMR titers.
  4. Submit documentation of your MMR titers to Complio.
    • For what's required on your documents and how to work with documents in Complio, check out the "Working in Complio" episode of our training series
    • Remember to submit each of your three titers using the individual primary titer requirements (three separate requirements, three separate sets of data - even if all three titers are on one page)
  5. If all three primary titers are positive, no further steps are required.
  6. If any primary titers are negative, you must have at least one MMR booster and submit it to Complio so the system can apply temporary compliance based on your primary titer and first booster. Some providers may recommend two MMR boosters 28 days apart. If you have a second booster, submit that to Complio using the corresponding requirement.
  7. Wait 6-8 weeks after booster(s) and have repeat titer. Submit result to Complio.
  8. If your repeat titer is positive, no further steps are required.
  9. If your repeat titer is negative, you'll be considered a non-responder and will need to follow the non-responder process:
    • Complete Non-Responder Form (sections for student and provider to complete)
    • Submit to Complio - note that all preceding steps must be documented in Complio before your non-responder status can be approved
    • OCPC will review and approve your non-responder form and then notify your program so that appropriate disclosures can be made to your clinical/field placement agency

Troubleshooting

  • Problem: Your provider says you don't need an MMR booster after a negative primary titer or that you don't need repeat titers after a booster.
    • Short answer – You do!
    • It's your responsibility to ensure that you complete all steps required to achieve compliance
    • May be a matter of sharing the checklist from the health forms packet or provider note from physical exam form
    • Sometimes simply explaining that this is a school requirement
    • If you cannot get your provider to understand what you need, you may need to seek alternate provider arrangements
  • Problem: You think you've submitted everything, but Complio still says you aren't compliant for MMR
    • Have you submitted all three primary titers, each to its own individual requirement?
    • Do all your titer documents include all the required information?
    • Were all your primary titers positive? If not, have you submitted all required booster and repeat titer steps?
    • If you submitted a non-responder form, was it fully completed, and have you submitted all previous steps?
    • Were all your documents approved or was something rejected?
    • If you had a rejection, have you addressed the issue and resubmitted your documentation?

What's Next

  • Complete MMR steps and submit them to Complio
  • Review other episodes
    • Working in Complio - all about documents, submitting requirements, understanding reviewer comments, etc.
    • Other immunization requirements involving titers
      • Varicella
      • Hepatitis B
    • Other requirement-specific episodes