- Home
- Members
- Quality Service
- HEDIS® Results
HEDIS® Results
Marketplace Healthcare Effectiveness Data and Information Set (HEDIS®) Annual Rates.
Molina’s scores for the past year are below. You can see how Molina performs compared to our target goal.
Measure / Data Element |
2021 |
2021 Goal |
Annual Dental Visit (ADV) |
NB |
42.34% |
Antidepressant Medication Management (AMM) Effective Acute Phase Treatment |
NA |
79.55% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
NA |
63.23% |
Asthma Medication Ratio (AMR) |
NA |
86.69% |
Appropriate Testing for Pharyngitis (CWP) |
70.18% |
76.83% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
63.37% |
85.62% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
42.50% |
46.67% |
Breast Cancer Screening (BCS) |
NA |
71.73% |
Cervical Cancer Screening (CCS) |
18.19% |
64.97% |
Childhood Immunization Status (CIS) Combination #3 Total |
NA |
80.45% |
Chlamydia Screening in Women (CHL) Total |
42.16% |
52.96% |
Colorectal Cancer Screening (COL) |
NA |
63.75% |
Comprehensive Diabetes Care (CDC) Eye Exam (Retinal) Performed |
22.48% |
52.80% |
Comprehensive Diabetes Care (CDC) HbA1c Control (<8.0%) |
23.65% |
60.88% |
Comprehensive Diabetes Care (CDC) Monitoring for Nephropathy |
89.93% |
90.75% |
Controlling High Blood Pressure (CBP) |
15.29% |
65.45% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Rate Total |
NA |
50.00% |
Immunizations for Adolescents (IMA) Combination #2 Total |
NA |
33.33% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Initiation of AOD Treatment Rate Total |
51.02% |
41.25% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Rate Total |
10.20% |
13.76% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
NA |
90.63% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
NA |
86.32% |
Proportion of Days Covered (PDC) RAS Antagonists |
61.82% |
83.13% |
Proportion of Days Covered (PDC) Diabetes All Class |
59.70% |
80.23% |
Proportion of Days Covered (PDC) Statins |
61.34% |
81.65% |
Use of Imaging Studies for Low Back Pain (LBP) |
75.51% |
82.86% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Screening Total |
53.57% |
83.18% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) Counseling for Nutrition |
48.81% |
77.43% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/ Adolescents (WCC) Counseling on Physical Activity Total |
46.43% |
75.91% |
Well-Child Visits in the First 30 Months of Life (W30) Well-Child Visits in the First 15 Months |
NA |
85.00% |
Well-Child Visits in the First 30 Months of Life (W30) Well-Child Visits for Age 15 Months – 30 Months |
NA |
90.35% |
Child and Adolescent Well-Care Visits (WCV) Total |
27.03% |
56.68% |
CMS rates qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS), which is based on third-party validated clinical measure data and QHP Enrollee Survey response data. CMS calculates QRS ratings annually using a 5-star scale. QHP issuers contract with HHS-approved survey vendors that independently conduct the QHP Enrollee Survey each year. QRS ratings and QHP Enrollee Survey results may change from one year to the next. For more information, please see CMS’ Health Insurance MarketplaceSM Quality Initiatives website at: CMS.gov.
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate