HEDIS® Results

Medicaid HEDIS® Annual Results.

Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal.

Measure

2023 Rate

2023 Goal

2024 Rate

2024 Goal

Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA)

66.14%

64.90%

66.15%

66.15%

Annual Dental Visits (ADV) Total

45.69%

54.60%

 

 

Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment

66.20%

46.74%

48.16%

48.16%

Appropriate Testing for Pharyngitis (CWP)

58.85%

77.56%

69.03%

85.11%

Appropriate Treatment for Upper Respiratory Infection (URI) Total

88.19%

93.08%

85.18%

91.27%

Asthma Medication Ratio (AMR) Total

55.51%

69.41%

57.57%

70.56%

Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB)

51.01%

66.19%

51.90%

67.03%

Blood Pressure Control (<140/90) for Patients With Diabetes (BPD)

67.64%

68.61%

69.59%

71.78%

Breast Cancer Screening (BCS)

53.48%

55.25%

 

 

Breast Cancer Screening (BCS-E)

53.34%

54.94%

55.49%

56.66%

Cervical Cancer Screening (CCS)

59.37%

59.85%

58.04%

60.10%

Childhood Immunization Status (CIS) Combination #10

23.84%

35.04%

22.63%

31.32%

Chlamydia Screening in Women (CHL) Total

64.89%

61.07%

65.51%

61.46%

Controlling High Blood Pressure (CBP)

63.26%

65.45%

61.72%

67.40%

Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)

81.31%

80.86%

84.45%

83.51%

Eye Exam for Patients With Diabetes (EED)

53.53%

56.20%

53.53%

57.09%

Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total

NB

27.73%

NB

27.62%

Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total

21.97%

46.35%

21.15%

44.33%

Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total

NB

41.03%

NB

42.86%

Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total

NB

37.31%

NB

37.64%

Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase

56.28%

57.90%

58.37%

56.86%

Follow-Up for Children Prescribed ADHD Medication (ADD-E) Continuation and Maintenance Phase

 

 

58.37%

56.83%

Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%)

50.61%

55.72%

56.93%

59.64%

Immunizations for Adolescents (IMA) Combination #2

29.88%

38.93%

36.25%

38.69%

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total

NB

16.94%

NB

16.78%

Kidney Health Evaluation for Patients with Diabetes (KED)

29.07%

38.80%

36.46%

42.10%

Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total

27.33%

39.01%

31.02%

41.92%

Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E) Blood Glucose and Cholesterol Testing Total

 

 

31.02%

41.41%

Pharmacotherapy for Opioid Use Disorder (POD) Total

27.07%

31.93%

23.36%

29.01%

Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids

70.76%

75.79%

70.44%

74.78%

Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator

87.58%

86.96%

86.69%

86.54%

Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years

91.45%

≤ 92.72%

86.66%

≤ 91.24%

Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care

81.02%

86.86%

84.50%

86.89%

Prenatal and Postpartum Care (PPC) Postpartum Care

71.53%

80.78%

73.39%

82.48%

Prenatal Immunization Status (PRS) Combination Rate

11.37%

25.81%

 

 

Prenatal Immunization Status (PRS-E) Combination Rate

11.37%

25.81%

11.48%

24.92%

Risk of Continued Opioid Use (COU) 31-Day Total

5.97%

≤ 2.45%

5.73%

≤ 2.79%

Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total

81.57%

81.64%

81.16%

83.00%

Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total

71.96%

73.63%

73.66%

74.07%

Statin Therapy for Patients with Diabetes (SPD)

Received Statin Therapy

69.95%

67.07%

69.53%

67.01%

Statin Therapy for Patients with Diabetes (SPD)

Statin Adherence 80%

69.99%

70.37%

69.60%

70.91%

Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total

64.64%

63.89%

68.45%

64.10%

Use of Imaging Studies for Low Back Pain (LBP)

76.65%

75.44%

70.88%

72.74%

Use of Opioids at High Dosage (HDO)

1.40%

≤ 2.19%

1.12%

≤ 2.14%

Use of Opioids from Multiple Providers (UOP)

Multiple Prescribers and Multiple Pharmacies

1.34%

≤ 0.87%

1.85%

≤ 1.22%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile

78.10%

83.21%

84.44%

86.20%


NA = Not Available
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate