HEDIS®
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 |
2021 |
2022 |
Goal |
Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA) |
71.79% |
74.20% |
64.52% |
Annual Dental Visits (ADV) |
NB |
NB |
53.67% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
42.12% |
42.80% |
46.09% |
Appropriate Testing for Pharyngitis (CWP) |
44.96% |
33.72% |
74.02% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
90.58% |
92.01% |
92.46% |
Asthma Medication Ratio (AMR) Total |
60.39% |
59.49% |
68.21% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
50.02% |
44.30% |
58.74% |
Breast Cancer Screening (BCS) |
55.83% |
51.27% |
53.96% |
Cervical Cancer Screening (CCS) |
57.18% |
57.66% |
60.83% |
Childhood Immunization Status (CIS) Combination #10 |
40.15% |
34.55% |
39.42% |
Chlamydia Screening in Women (CHL) Total |
61.24% |
62.98% |
60.24% |
Comprehensive Diabetes Care (CDC) BP Control < 140/90 |
54.26% |
59.12% |
65.21% |
Comprehensive Diabetes Care (CDC) HbA1c Control <8.0% |
50.12% |
51.09% |
52.80% |
Comprehensive Diabetes Care (CDC) Eye Exam |
59.85% |
52.55% |
54.74% |
Controlling High Blood Pressure (CBP) |
54.99% |
54.99% |
63.50% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
76.33% |
82.92% |
81.21% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
3.84% |
3.47% |
16.16% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
11.10% |
7.84% |
45.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
NB |
NB |
42.75% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
6.36% |
8.3% |
37.86% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
39.05% |
41.41% |
55.40% |
Immunizations for Adolescents (IMA) Combination #2 |
39.42% |
33.33% |
39.16% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
NB |
6.77% |
16.57% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Total |
NA |
0.00% |
39.29% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
10.81% |
19.23% |
33.15% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
65.38% |
64.66% |
74.76% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
82.82% |
86.89% |
87.83% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
90.64% |
93.61% |
≤ 94.44% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
89.29% |
85.40% |
87.83% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
78.10% |
78.35% |
80.00% |
Prenatal Immunization Status (PRS) Combination Rate |
NR |
24.15% |
27.32% |
Risk of Continued Opioid Use (COU) 31-Day Total |
3.54% |
2.73% |
≤ 2.35% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
80.20% |
79.40% |
82.29% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
75.95% |
74.47% |
73.75% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
71.02% |
71.78% |
68.32% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
69.67% |
68.31% |
70.00% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
NA |
NA |
65.63% |
Use of Imaging Studies for Low Back Pain (LBP) |
74.70% |
74.83% |
76.82% |
Use of Opioids at High Dosage (HDO) |
3.17% |
5.27% |
≤ 2.65% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
1.81% |
1.47% |
≤ 0.90% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
86.86% |
84.91% |
82.73% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate