HEDIS®
Medicaid HEDIS® Annual Rates.
Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal.
Measure |
2022 |
2023 |
Goal |
Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA) |
74.20% |
70.09% |
64.90% |
Annual Dental Visits (ADV) |
NB |
NB |
54.60% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
42.80% |
49.97% |
46.74% |
Appropriate Testing for Pharyngitis (CWP) |
33.72% |
35.00% |
77.56% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
92.01% |
93.09% |
93.08% |
Asthma Medication Ratio (AMR) Total |
59.49% |
61.84% |
69.41% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
44.30% |
54.12% |
66.19% |
Blood Pressure Control (<140/90) for Patients With Diabetes (BPD) |
59.12% |
63.26% |
68.61% |
Breast Cancer Screening (BCS) |
51.27% |
51.83% |
55.25% |
Cervical Cancer Screening (CCS) |
57.66% |
51.09% |
59.85% |
Childhood Immunization Status (CIS) Combination #10 |
34.55% |
33.33% |
35.04% |
Chlamydia Screening in Women (CHL) Total |
62.98% |
61.48% |
61.07% |
Controlling High Blood Pressure (CBP) |
54.99% |
58.64% |
65.45% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
82.92% |
80.53% |
80.86% |
Eye Exam for Patients With Diabetes (EED) |
52.55% |
53.04% |
56.20% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
3.47% |
17.85% |
27.73% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
7.84% |
28.36% |
46.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
NB |
16.94% |
41.03% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
8.3% |
16.67% |
37.31% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
41.41% |
46.26% |
57.90% |
Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) |
51.09% |
56.45% |
55.72% |
Immunizations for Adolescents (IMA) Combination #2 |
33.33% |
32.91% |
38.93% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
6.77% |
8.46% |
16.94% |
Kidney Health Evaluation for Patients with Diabetes (KED) |
53.25% |
48.18% |
38.80% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total |
0.00% |
40.79% |
39.01% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
19.23% |
21.51% |
31.93% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
64.66% |
65.61% |
75.79% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
86.89% |
86.07% |
86.96% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
93.61% |
86.88% |
≤ 92.72% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
85.40% |
84.18% |
86.86% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
78.35% |
82.00% |
80.78% |
Prenatal Immunization Status (PRS) Combination Rate |
24.15% |
22.97% |
25.81 |
Risk of Continued Opioid Use (COU) 31-Day Total |
2.73% |
2.74% |
≤ 2.45% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
79.40% |
55.46% |
81.64% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
74.47% |
83.88% |
73.63% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
71.78% |
69.49% |
67.07% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
68.31% |
82.00% |
70.37% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
NA |
29.46% |
63.89% |
Use of Imaging Studies for Low Back Pain (LBP) |
74.83% |
73.36% |
75.44% |
Use of Opioids at High Dosage (HDO) |
5.27% |
2.09% |
≤ 2.19% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
1.47% |
0.17% |
≤ 0.87% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
84.91% |
82.97% |
83.21% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate