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) |
56.88% |
57.18% |
64.90% |
Annual Dental Visits (ADV) |
NB |
NB |
54.60% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
40.69% |
40.49% |
46.74% |
Appropriate Testing for Pharyngitis (CWP) |
71.48% |
74.29% |
77.56% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
87.41% |
86.17% |
93.08% |
Asthma Medication Ratio (AMR) Total |
54.09% |
59.88% |
69.41% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
60.62% |
63.91% |
66.19% |
Blood Pressure Control (<140/90) for Patients With Diabetes (BPD) |
52.80% |
54.74% |
68.61% |
Breast Cancer Screening (BCS) |
49.38% |
49.11% |
55.25% |
Cervical Cancer Screening (CCS) |
56.93% |
48.22% |
59.85% |
Childhood Immunization Status (CIS) Combination #10 |
25.06% |
24.57% |
35.04% |
Chlamydia Screening in Women (CHL) Total |
48.80% |
51.14% |
61.07% |
Controlling High Blood Pressure (CBP) |
59.85% |
51.82% |
65.45% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
78.62% |
80.56% |
80.86% |
Eye Exam for Patients With Diabetes (EED) |
53.53% |
52.55% |
56.20% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
3.38% |
18.66% |
27.73% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
31.60% |
30.35% |
46.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
40.45% |
37.08% |
41.03% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
26.09% |
23.11% |
37.31% |
Follow-Up Care for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
40.38% |
65.56% |
57.90% |
Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) |
50.61% |
50.61% |
55.72% |
Immunizations for Adolescents (IMA) Combination #2 |
41.12% |
39.17% |
38.93% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
5.72% |
9.68% |
16.94% |
Kidney Health Evaluation for Patients with Diabetes (KED) |
26.85%
|
29.16% |
38.80% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total |
31.34% |
33.41% |
39.01% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
43.01% |
41.11% |
31.93% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroid |
73.97% |
69.94% |
75.79% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
88.81% |
86.42% |
86.96% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
98.09 |
101.53 |
≤ 92.72 |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
87.35% |
81.51% |
86.86% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
68.37% |
70.32% |
80.78% |
Prenatal Immunization Status (PRS) Combination Rate |
11.82% |
10.61% |
25.81 |
Risk of Continued Opioid Use (COU) 31-Day Total |
7.61% |
6.03% |
≤ 2.45% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
80.78% |
81.03% |
81.64% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
65.62% |
58.18% |
73.63% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
71.48% |
71.08% |
67.07% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
63.70% |
57.52% |
70.37% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
42.74% |
47.79% |
63.89% |
Use of Imaging Studies for Low Back Pain (LBP) |
69.46% |
70.93% |
75.44% |
Use of Opioids at High Dosage (HDO) |
4.74% |
0.65% |
≤ 2.19% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
1.00% |
1.06% |
≤ 0.87% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
80.05% |
77.37% |
83.21% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate