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) |
54.07% |
54.05% |
64.90% |
Annual Dental Visits (ADV) Total |
69.08% |
45.09% |
54.60% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
33.26% |
41.93% |
46.74% |
Appropriate Testing for Pharyngitis (CWP) |
73.91% |
67.15% |
77.56% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
93.00% |
91.55% |
93.08% |
Asthma Medication Ratio (AMR) Total |
58.26% |
57.77% |
69.41% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
40.49% |
57.95% |
66.19% |
Blood Pressure Control (<140/90) for Patients With Diabetes (BPD) |
64.48% |
49.15% |
68.61% |
Breast Cancer Screening (BCS) |
57.96% |
64.93% |
55.25% |
Cervical Cancer Screening (CCS) |
63.75% |
69.10% |
59.85% |
Childhood Immunization Status (CIS) Combination #10 |
35.04% |
39.17% |
35.04% |
Chlamydia Screening in Women (CHL) Total |
69.92% |
75.78% |
61.07% |
Controlling High Blood Pressure (CBP) |
62.29% |
53.77% |
65.45% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
73.16% |
76.64% |
80.86% |
Eye Exam for Patients With Diabetes (EED) |
56.69% |
60.83% |
56.20% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
15.17% |
19.68% |
27.73% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
39.39% |
36.18% |
46.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
46.77% |
45.76% |
41.03% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
39.10% |
35.60% |
37.31% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
56.94% |
55.66% |
57.90% |
Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) |
46.47% |
39.42% |
55.72% |
Immunizations for Adolescents (IMA) Combination #2 |
37.71% |
45.26% |
38.93% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
13.70% |
14.79% |
16.94% |
Kidney Health Evaluation for Patients with Diabetes (KED) |
37.75% |
42.16% |
38.80% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total |
28.29% |
39.70% |
39.01% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
32.79% |
39.16% |
31.93% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
78.57% |
69.58% |
75.79% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
81.55% |
85.17% |
86.96% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
77.50% |
65.45% |
≤ 92.72% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
82.00% |
82.97% |
86.86% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
69.34% |
79.81% |
80.78% |
Prenatal Immunization Status (PRS) Combination Rate |
24.34% |
25.84% |
25.81 |
Risk of Continued Opioid Use (COU) 31-Day Total |
4.61% |
3.83% |
≤ 2.45% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
84.08% |
81.00% |
81.64% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
64.20% |
63.48% |
73.63% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
71.79% |
69.08% |
67.07% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
58.82% |
55.03% |
70.37% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
72.22% |
70.56% |
63.89% |
Use of Imaging Studies for Low Back Pain (LBP) |
73.26% |
75.15% |
75.44% |
Use of Opioids at High Dosage (HDO) |
2.12% |
2.42% |
≤ 2.19% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
0.34% |
0.54% |
≤ 0.87% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
82.73% |
81.27% |
83.21% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate