HEDIS Results
Medicaid HEDIS® Annual Rates.
Molina’s scores 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) |
59.25% |
51.50% |
64.52% |
Annual Dental Visits (ADV) Total |
48.14% |
49.13% |
53.67% |
Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment |
58.89% |
61.18% |
46.09% |
Appropriate Testing for Pharyngitis (CWP) |
75.29% |
74.02% |
74.02% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
74.74% |
73.88% |
92.46% |
Asthma Medication Ratio (AMR) Total |
62.89% |
64.75% |
68.21% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) Total |
55.84% |
48.25% |
58.74% |
Breast Cancer Screening (BCS) |
36.36% |
33.33% |
53.96% |
Cervical Cancer Screening (CCS) |
47.93% |
52.31% |
60.83% |
Childhood Immunization Status (CIS) Combination #10 |
17.27% |
20.68% |
39.42% |
Chlamydia Screening in Women (CHL) Total |
53.13% |
52.19% |
60.24% |
Comprehensive Diabetes Care (CDC) BP Control < 140/90 |
51.82% |
53.77% |
65.21% |
Comprehensive Diabetes Care (CDC) HbA1c Control < 8.0% |
36.25% |
30.17% |
52.80% |
Comprehensive Diabetes Care (CDC) Eye Exam |
49.15% |
53.28% |
54.74% |
Controlling High Blood Pressure (CBP) |
47.20% |
50.12% |
63.50% |
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD) |
71.19% |
70.60% |
81.21% |
Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total |
2.73% |
3.77% |
16.16% |
Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total |
18.75% |
31.70% |
45.35% |
Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total |
29.44% |
30.63% |
42.75% |
Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total |
21.05% |
13.33% |
37.86% |
Follow-Up for Children Prescribed ADHD Medication (ADD)Continuation and Maintenance Phase |
60.66% |
38.46% |
55.40% |
Immunizations for Adolescents (IMA) Combination #2 |
10.22% |
10.95% |
39.16% |
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total |
7.05% |
6.82% |
16.57% |
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Total |
16.49% |
22.24% |
39.29% |
Pharmacotherapy for Opioid Use Disorder (POD) Total |
60.66% |
49.59% |
33.15% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids |
54.39% |
60.48% |
74.76% |
Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator |
80.70% |
80.65% |
87.83% |
Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years |
118.15% |
104.10% |
≤ 94.44% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
95.38% |
91.24% |
87.83% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
66.42% |
63.50% |
80.00% |
Prenatal Immunization Status (PRS) Combination Rate |
NR |
8.16% |
27.32% |
Risk of Continued Opioid Use (COU) 31-Day Total |
4.43% |
3.42% |
≤ 2.35% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total |
78.95% |
76.38% |
82.29% |
Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total |
86.67% |
85.57% |
73.75% |
Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy |
52.14% |
51.36% |
68.32% |
Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80% |
77.05% |
77.06% |
70.00% |
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total |
57.02% |
59.43% |
65.63% |
Use of Imaging Studies for Low Back Pain (LBP) |
71.96% |
67.49% |
76.82% |
Use of Opioids at High Dosage (HDO) |
4.76% |
3.42% |
≤ 2.65% |
Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies |
2.80% |
0.80% |
≤ 0.90% |
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile |
49.15% |
54.26% |
82.73% |
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate