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) |
64.13% |
67.75% |
64.90% |
Annual Dental Visits (ADV) Total |
NB |
NB |
54.60% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
32.40% |
29.97% |
46.74% |
Appropriate Testing for Pharyngitis (CWP) |
71.59% |
78.18% |
77.56% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
88.16% |
88.19% |
93.08% |
Asthma Medication Ratio (AMR) Total |
63.15% |
61.81% |
69.41% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
50.11% |
58.62% |
66.19% |
Blood Pressure Control (<140/90) for Patients With Diabetes (BPD) |
64.72% |
59.37% |
68.61% |
Breast Cancer Screening (BCS) |
53.25% |
53.52% |
55.25% |
Cervical Cancer Screening (CCS) |
62.53% |
56.20% |
59.85% |
Childhood Immunization Status (CIS) Combination #10 |
25.79% |
19.95% |
35.04% |
Chlamydia Screening in Women (CHL) Total |
57.78% |
58.78% |
61.07% |
Controlling High Blood Pressure (CBP) |
54.74% |
55.47% |
65.45% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
79.97% |
80.72% |
80.86% |
Eye Exam for Patients With Diabetes (EED) |
56.45% |
53.04% |
56.20% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
11.23% |
20.12% |
27.73% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
42.06% |
42.42% |
46.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
37.88% |
32.38% |
41.03% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
25.19% |
28.98% |
37.31% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
45.50% |
62.65% |
57.90% |
Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) |
46.23% |
51.82% |
55.72% |
Immunizations for Adolescents (IMA) Combination #2 |
28.95% |
32.36% |
38.93% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Rate Total |
11.92% |
11.51% |
16.94% |
Kidney Health Evaluation for Patients with Diabetes (KED) |
25.66%
|
28.57% |
38.80% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total |
26.94% |
28.37% |
39.01% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
52.43% |
33.78% |
31.93% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
68.87% |
73.67% |
75.79% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
79.47% |
81.43% |
86.96% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
89.25% |
94.30 |
≤ 92.72% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
87.83% |
84.91% |
86.86% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
75.67% |
77.86% |
80.78% |
Prenatal Immunization Status (PRS) Combination Rate |
13.89% |
13.38% |
25.81 |
Risk of Continued Opioid Use (COU) 31-Day Total |
2.83% |
2.80% |
≤ 2.45% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
82.32% |
82.72% |
81.64% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
59.68% |
64.40% |
73.63% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
66.58% |
66.45% |
67.07% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
55.51% |
56.96% |
70.37% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
54.50% |
57.00% |
63.89% |
Use of Imaging Studies for Low Back Pain (LBP) |
68.69% |
66.81% |
75.44% |
Use of Opioids at High Dosage (HDO) |
1.93% |
3.74% |
≤ 2.19% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
1.16% |
0.98% |
≤ 0.87% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
70.56% |
70.07% |
83.21% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate