HEDIS Results
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) |
57.48% |
54.92% |
64.90% |
Annual Dental Visits (ADV) Total |
0.33% |
0.39% |
54.60% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
38.91% |
41.66% |
46.74% |
Appropriate Testing for Pharyngitis (CWP) |
71.86% |
76.73% |
77.56% |
Appropriate Treatment for Upper Respiratory Infection (URI) Total |
87.16% |
90.09% |
93.08% |
Asthma Medication Ratio (AMR) Total |
70.95% |
72.94% |
69.41% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
54.95% |
64.06% |
66.19% |
Blood Pressure Control (<140/90) for Patients With Diabetes (BPD) |
44.77% |
41.85% |
68.61% |
Breast Cancer Screening (BCS) |
42.04% |
41.23% |
55.25% |
Cervical Cancer Screening (CCS) |
36.50% |
41.85% |
59.85% |
Childhood Immunization Status (CIS) Combination #10 |
32.12% |
23.11% |
35.04% |
Chlamydia Screening in Women (CHL) Total |
54.06% |
55.18% |
61.07% |
Controlling High Blood Pressure (CBP) |
43.55% |
36.01% |
65.45% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
77.94% |
77.94% |
80.86% |
Eye Exam for Patients With Diabetes (EED) |
31.87% |
31.14% |
56.20% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
13.11% |
22.26% |
27.73% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
39.72% |
35.46% |
46.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
18.48% |
22.21% |
41.03% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
53.78% |
50.34% |
37.31% |
Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase |
35.82% |
54.84% |
57.90% |
Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%) |
25.79% |
35.28% |
55.72% |
Immunizations for Adolescents (IMA) Combination #2 |
21.90% |
21.41% |
38.93% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
16.73% |
22.69% |
16.94% |
Kidney Health Evaluation for Patients with Diabetes (KED) |
29.45% |
32.13% |
38.80% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total |
29.07% |
39.62% |
39.01% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
38.83% |
42.81% |
31.93% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
76.78% |
77.62% |
75.79% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
85.75% |
83.43% |
86.96% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
75.37% |
87.82% |
≤ 92.72% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
62.53% |
63.50% |
86.86% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
56.69% |
60.10% |
80.78% |
Prenatal Immunization Status (PRS) Combination Rate |
17.75% |
13.91% |
25.81 |
Risk of Continued Opioid Use (COU) 31-Day Total |
2.45% |
6.90% |
≤ 2.45% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
79.48% |
80.87% |
81.64% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
54.89% |
80.71% |
73.63% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
63.75% |
63.10% |
67.07% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
58.53% |
75.92% |
70.37% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
71.60% |
55.56% |
63.89% |
Use of Imaging Studies for Low Back Pain (LBP) |
71.04% |
65.86% |
75.44% |
Use of Opioids at High Dosage (HDO) |
4.05% |
7.29% |
≤ 2.19% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
1.21% |
0.81% |
≤ 0.87% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
68.13% |
52.07% |
83.21% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate