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) |
63.79% |
62.54% |
64.90% |
Annual Dental Visits (ADV) Total |
54.47% |
48.70% |
54.60% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
39.58% |
77.01% |
46.74% |
Appropriate Testing for Pharyngitis (CWP) |
75.24% |
76.25% |
77.56% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
89.70% |
90.55% |
93.08% |
Asthma Medication Ratio (AMR) Total |
60.73% |
65.38% |
69.41% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
55.36% |
65.85% |
66.19% |
Blood Pressure Control (<140/90) for Patients With Diabetes (BPD) |
67.64% |
63.50% |
68.61% |
Breast Cancer Screening (BCS) |
47.82% |
48.27% |
55.25% |
Cervical Cancer Screening (CCS) |
52.07% |
52.80% |
59.85% |
Childhood Immunization Status (CIS) Combination #10 |
26.28% |
21.17% |
35.04% |
Chlamydia Screening in Women (CHL) Total |
56.38% |
57.21% |
61.07% |
Controlling High Blood Pressure (CBP) |
60.83% |
60.34% |
65.45% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
81.58% |
82.30% |
80.86% |
Eye Exam for Patients With Diabetes (EED) |
48.66% |
45.50% |
56.20% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
20.35% |
28.52% |
27.73% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
55.98% |
53.45% |
46.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
29.78% |
29.80% |
41.03% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
39.82% |
39.42% |
37.31% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
43.75% |
44.38% |
57.90% |
Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) |
50.12% |
48.18% |
55.72% |
Immunizations for Adolescents (IMA) Combination #2 |
31.43% |
31.24% |
38.93% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
12.16% |
12.22% |
16.94% |
Kidney Health Evaluation for Patients with Diabetes (KED) |
34.95% |
33.87% |
38.80% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total |
28.03% |
30.34% |
39.01% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
8.40% |
7.75% |
31.93% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
79.47% |
77.77% |
75.79% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
87.29% |
87.45% |
86.96% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
98.95% |
94.83% |
≤ 92.72% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
89.54% |
84.67% |
86.86% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
79.56% |
76.89% |
80.78% |
Prenatal Immunization Status (PRS) Combination Rate |
21.90% |
19.41% |
25.81 |
Risk of Continued Opioid Use (COU) 31-Day Total |
3.73% |
8.62% |
≤ 2.45% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
83.20% |
82.58% |
81.64% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
74.98% |
92.26% |
73.63% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
69.77% |
67.95% |
67.07% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
69.74% |
88.30% |
70.37% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
58.05% |
54.32% |
63.89% |
Use of Imaging Studies for Low Back Pain (LBP) |
69.44% |
70.00% |
75.44% |
Use of Opioids at High Dosage (HDO) |
2.89% |
4.88% |
≤ 2.19% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
1.42% |
1.10% |
≤ 0.87% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
80.54% |
78.10% |
83.21% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate