Medicaid HEDIS® Results

These are Molina’s scores for the last two years. They show how Molina compares to the national average.

 

Measure

2024 Rate

2025 Rate

Goal

Shots and Health Checkups

Flu Shots for Adults

7.74

8.03

18.61

Pneumonia Shots for Adults Over 66

21.74

7.41

58.40

Adult Td/Tdap Shot

31.16

37.48

50.60

Breast Cancer Check

NA

30.94

58.93

Cervical Cancer Check

36.01

40.63

61.52

Child Vaccines (10 shots)

15.33

17.03

30.41

Chlamydia Test for Women

56.82

55.71

62.81

Immunizations for Adolescents (IMA) - Combination 2

31.87

29.20

40.39

Lead Screen for Children

22.84

29.34

74.62

Dental Checkups

0.00

0.00

49.54

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents - BMI percentile

84.18

82.99

87.69

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents - Counseling for Nutrition

75.91

77.01

77.70

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents - Counseling for Physical Activity

72.02

73.73

75.91

Breathing and Lung Health

Asthma Medicine Use

50.32

46.86

68.13

Strep Throat Test

72.77

73.75

87.31

COPD Treatment – Breathing Medicine

75.89

83.05

86.25

COPD Treatment – Steroid Medicine

63.83

48.02

74.92

Heart Health

Keeping Blood Pressure Healthy

45.01

52.07

70.35

People Taking Cholesterol Medicine

66.67

70.73

82.94

People Taking Cholesterol Medicine Regularly

47.46

53.45

75.45

Diabetes Care

Keeping Blood Pressure Healthy for People With Diabetes

48.66

56.20

74.21

Eye Check for People With Diabetes

35.52

47.45

60.83

Blood Sugar Under Control

43.80

54.50

63.04

High Blood Sugar

51.34

38.44

27.98

Kidney Check for People With Diabetes

28.54

33.95

46.17

Taking Cholesterol Medicine

57.55

62.15

69.01

Taking Cholesterol Medicine Regularly

43.12

49.71

72.29

Mental Health and Substance Use Care

Taking Medicine for Schizophrenia

38.90

43.54

69.67

Taking Depression Medicine (First Few Months)

51.78

48.87

66.99

Taking Depression Medicine (Long-Term)

34.40

33.25

49.88

Diabetes Test for People on Mental Health Medicine

75.90

75.22

84.36

Follow-Up After ER Visit for Mental Health - 30 days

57.46

54.26

62.41

Follow-Up After ER Visit for Mental Health - 7 days

51.45

44.16

46.71

Follow-Up After ER Visit for Substance Use - 30 days

26.42

27.91

43.24

Follow-Up After ER Visit for Substance Use - 7 days

17.74

19.04

30.53

Follow-Up After Substance Use Treatment - 30 days

33.96

40.76

62.24

Follow-Up After Substance Use Treatment - 7 days

19.81

23.22

40.55

Follow-Up After Mental Health Hospital Stay - 30 days

48.39

48.19

67.40

Follow-Up After Mental Health Hospital Stay - 7 days

30.47

31.99

45.08

Follow-Up for Kids on ADHD Medicine - Initiation Phase

47.62

46.58

49.56

Follow-Up for Kids on ADHD Medicine - Continuation and Maintenance Phase

72.73

57.89

58.69

Blood Sugar and Cholesterol Test for Kids on Mental Health Medicine

30.34

27.21

41.52

Getting Care When You Need It

Starting Treatment for Substance Use

47.69

49.03

49.03

Staying in Treatment for Substance Use

16.01

15.81

17.80

Getting Care Early in Pregnancy

75.43

82.97

88.56

Getting Care After Having a Baby

57.91

75.43

83.94

Counseling for Kids on Mental Health Medicine

55.56

68.57

82.10

NA = Not Available Due to Small Number of People

 

You may have to pay for services that are not covered. You may also have to pay for services from providers not part of our network. If the services were an emergency, you don’t have to pay. If you need help, call Member Services.