HEDIS® Results
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) |
65.01% | 63.58% |
64.90% |
Annual Dental Visits (ADV) Total |
NB |
NB |
54.60% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
45.15% |
42.63% |
46.74% |
Appropriate Testing for Pharyngitis (CWP) |
62.48% |
65.69% |
77.56% |
Appropriate Treatment for Upper Respiratory Infection (URI) Total |
92.74% |
91.42% |
93.08% |
Asthma Medication Ratio (AMR) Total |
75.34% |
79.69% |
69.41% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
67.84% |
65.53% |
66.19% |
Blood Pressure Control (<140/90) for Patients With Diabetes (BPD) | 61.56% | 68.61% | 68.61% |
Breast Cancer Screening (BCS) |
61.03% |
60.96% |
55.25% |
Cervical Cancer Screening (CCS) |
63.99% |
64.72% |
59.85% |
Childhood Immunization Status (CIS) Combination #10 |
42.09% |
35.52% |
35.04% |
Chlamydia Screening in Women (CHL) Total |
62.69% |
62.88% |
61.07% |
Controlling High Blood Pressure (CBP) |
64.23% |
71.29% |
65.45% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
81.13% |
82.27% |
80.86% |
Eye Exam for Patients with Diabetes (EED) | 50.85% | 49.15% | 56.20% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
8.93% |
19.64% |
27.73% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
37.89% |
30.95% |
46.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
33.50% |
31.99% |
41.03% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
13.86% |
18.46% |
37.31% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
50.00% |
62.34% |
57.90% |
Heboglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) | 53.77% | 53.53% | 55.72% |
Immunizations for Adolescents (IMA) Combination #2 |
46.47% |
43.07% |
38.93% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
5.29% |
7.54% |
16.94% |
Kidney Health Evaluation for Patients With Diabetes (KED) | 44.52% | 43.76% | 38.80% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Total |
37.56% |
34.67% |
39.01% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
6.33% |
10.07% |
31.93% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
69.03% |
59.35% |
75.79% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
87.61% |
83.74% |
86.93% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
106.31% |
101.87% |
≤ 92.72% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
91.97% |
86.37% |
86.86% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
80.78% |
78.10% |
80.78% |
Prenatal Immunization Status (PRS) Combination Rate |
7.04% |
8.19% |
25.81% |
Risk of Continued Opioid Use (COU) 31-Day Total |
2.09% |
1.95% |
≤ 2.45% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
80.48% |
81.46% |
81.64% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
58.96% |
54.48% |
73.63% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
75.41% |
70.16% |
67.07% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
50.41% |
49.10% |
70.37% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
76.24% |
77.50% |
63.89% |
Use of Imaging Studies for Low Back Pain (LBP) |
67.03% |
64.30% |
75.44% |
Use of Opioids at High Dosage (HDO) |
13.77% |
10.70% |
≤ 2.19% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
0.49% |
1.11% |
≤ 0.870% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
85.40% |
84.91% |
83.21% |
The reporting year is subsequent of the year reflected in the data; for example, “HEDIS 2023” is data collected from calendar year January-December 2022.
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate