HEDIS® Results

Medicaid HEDIS® Annual Rates.

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

Measure / Data Element

2019

2020

2020 Goal

Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA)

54.30%

55.47%

67.47%

Adult BMI Assessment (ABA)

81.51%

90.38%

93.67%

Annual Dental Visits (ADV)

NB

NB

64.11%

Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment

35.64%

36.66%

40.95%

Appropriate Testing for Pharyngitis (CWP)

77.70%

79.24%

86.51%

Appropriate Treatment for Upper Respiratory Infection (URI)

90.40%

83.81%

94.88%

Asthma Medication Ratio (AMR) Total

58.08%

55.73%

68.52%

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

31.04%

57.89%

41.07%

Breast Cancer Screening (BCS)

55.85%

56.75%

63.98%

Cervical Cancer Screening (CCS)

52.07%

52.07%

66.49%

Childhood Immunization Status (CIS) Combination #10

29.20%

29.20%

42.02%

Chlamydia Screening in Women (CHL) Total

47.55%

43.91%

66.24%

Comprehensive Diabetes Care (CDC) BP Control < 140/90

54.01%

54.01%

71.44%

Comprehensive Diabetes Care (CDC) HbA1c Control < 8.0%

44.77%

44.77%

55.96%

Comprehensive Diabetes Care (CDC) Eye Exam

61.80%

61.80%

64.72%

Controlling High Blood Pressure (CBP)

52.80%

52.80%

66.91%

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

84.13%

84.09%

84.27%

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

4.33%

2.57%

16.93%

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

29.21%

28.78%

49.65%

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

37.86%

37.23%

42.69%

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

70.00%

56.76%

62.69%

Immunizations for Adolescents (IMA) Combination #2

42.58%

46.96%

40.39%

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

Engagement of AOD Treatment Total

6.31%

5.96%

18.12%

Medication Management for People with Asthma (MMA) Medication Compliance 75% Total

31.90%

29.60%

42.77%

Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Total

33.16%

34.12%

40.90%

Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroid

67.83%

70.16%

75.38%

Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator

86.71%

84.64%

87.93%

Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care

86.62%

98.54%

87.59%

Prenatal and Postpartum Care (PPC) Postpartum Care

56.69%

79.32%

69.83%

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

75.83%

79.71%

81.24%

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

57.06%

59.36%

69.97%

Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy

69.31%

69.97%

67.19%

Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80%

56.86%

57.07%

66.42%

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

45.07%

48.69%

66.58%

Use of Imaging Studies for Low Back Pain (LBP)

65.87%

73.17%

76.02%

Use of Opioids at High Dosage (HDO)

0.90%

1.24%

≤ 2.27%

Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies

2.07%

1.32%

≤ 2.14%

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

70.56%

73.95%

85.16%

 

NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate