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  | 
            
             2023 Rate  | 
            
             2023 Goal  | 
            
             2024 Rate  | 
            
             2024 Goal  | 
        
| 
             Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA)  | 
            
             57.18%  | 
            
             64.90%  | 
            
             58.42%  | 
            
             66.15%  | 
        
| 
             Annual Dental Visits (ADV) Total  | 
            
             NB  | 
            
             54.60%  | 
            
             
  | 
            
             
  | 
        
| 
             Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment  | 
            
             40.49%  | 
            
             46.74%  | 
            
             34.91%  | 
            
             48.16%  | 
        
| 
             Appropriate Testing for Pharyngitis (CWP)  | 
            
             74.29%  | 
            
             77.56%  | 
            
             78.29%  | 
            
             85.11%  | 
        
| 
             Appropriate Treatment for Upper Respiratory Infection (URI) Total  | 
            
             86.17%  | 
            
             93.08%  | 
            
             85.47%  | 
            
             91.27%  | 
        
| 
             Asthma Medication Ratio (AMR) Total  | 
            
             59.88%  | 
            
             69.41%  | 
            
             64.96%  | 
            
             70.56%  | 
        
| 
             Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB)  | 
            
             63.91%  | 
            
             66.19%  | 
            
             63.72%  | 
            
             67.03%  | 
        
| 
             Blood Pressure Control (<140/90) for Patients With Diabetes (BPD)  | 
            
             54.74%  | 
            
             68.61%  | 
            
             60.83%  | 
            
             71.78%  | 
        
| 
             Breast Cancer Screening (BCS)  | 
            
             49.11%  | 
            
             55.25%  | 
            
             
  | 
            
             
  | 
        
| 
             Breast Cancer Screening (BCS-E)  | 
            
             48.68%  | 
            
             54.94%  | 
            
             50.68%  | 
            
             56.66%  | 
        
| 
             Cervical Cancer Screening (CCS)  | 
            
             48.22%  | 
            
             59.85%  | 
            
             46.96%  | 
            
             60.10%  | 
        
| 
             Childhood Immunization Status (CIS) Combination #10  | 
            
             24.57%  | 
            
             35.04%  | 
            
             18.89%  | 
            
             31.32%  | 
        
| 
             Chlamydia Screening in Women (CHL) Total  | 
            
             51.14%  | 
            
             61.07%  | 
            
             53.40%  | 
            
             61.46%  | 
        
| 
             Controlling High Blood Pressure (CBP)  | 
            
             51.82%  | 
            
             65.45%  | 
            
             52.07%  | 
            
             67.40%  | 
        
| 
             Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)  | 
            
             80.56%  | 
            
             80.86%  | 
            
             81.63%  | 
            
             83.51%  | 
        
| 
             Eye Exam for Patients With Diabetes (EED)  | 
            
             52.55%  | 
            
             56.20%  | 
            
             53.77%  | 
            
             57.09%  | 
        
| 
             Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total  | 
            
             18.66%  | 
            
             27.73%  | 
            
             18.05%  | 
            
             27.62%  | 
        
| 
             Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total  | 
            
             30.35%  | 
            
             46.35%  | 
            
             29.80%  | 
            
             44.33%  | 
        
| 
             Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total  | 
            
             37.08%  | 
            
             41.03%  | 
            
             34.12%  | 
            
             42.86%  | 
        
| 
             Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total  | 
            
             23.11%  | 
            
             37.31%  | 
            
             24.93%  | 
            
             37.64%  | 
        
| 
             Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase  | 
            
             65.56%  | 
            
             57.90%  | 
            
             61.26%  | 
            
             56.86%  | 
        
| 
             Follow-Up for Children Prescribed ADHD Medication (ADD-E) Continuation and Maintenance Phase  | 
            
             
  | 
            
             
  | 
            
             61.26%  | 
            
             56.83%  | 
        
| 
             Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%)  | 
            
             50.61%  | 
            
             55.72%  | 
            
             55.23%  | 
            
             59.64%  | 
        
| 
             Immunizations for Adolescents (IMA) Combination #2  | 
            
             39.17%  | 
            
             38.93%  | 
            
             39.23%  | 
            
             38.69%  | 
        
| 
             Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total  | 
            
             9.68%  | 
            
             16.94%  | 
            
             8.10%  | 
            
             16.78%  | 
        
| 
             Kidney Health Evaluation for Patients with Diabetes (KED)  | 
            
             29.16%  | 
            
             38.80%  | 
            
             31.82%  | 
            
             42.10%  | 
        
| 
             Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total  | 
            
             33.41%  | 
            
             39.01%  | 
            
             34.62%  | 
            
             41.92%  | 
        
| 
             Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E) Blood Glucose and Cholesterol Testing Total  | 
            
             
  | 
            
             
  | 
            
             34.62%  | 
            
             41.41%  | 
        
| 
             Pharmacotherapy for Opioid Use Disorder (POD) Total  | 
            
             41.11%  | 
            
             31.93%  | 
            
             39.04%  | 
            
             29.01%  | 
        
| 
             Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids  | 
            
             69.94%  | 
            
             75.79%  | 
            
             69.07%  | 
            
             74.78%  | 
        
| 
             Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator  | 
            
             86.42%  | 
            
             86.96%  | 
            
             82.19%  | 
            
             86.54%  | 
        
| 
             Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years  | 
            
             101.53%  | 
            
             ≤ 92.72  | 
            
             99.85%  | 
            
             ≤ 91.24%  | 
        
| 
             Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care  | 
            
             81.51%  | 
            
             86.86%  | 
            
             79.02%  | 
            
             86.89%  | 
        
| 
             Prenatal and Postpartum Care (PPC) Postpartum Care  | 
            
             70.32%  | 
            
             80.78%  | 
            
             71.26%  | 
            
             82.48%  | 
        
| 
             Prenatal Immunization Status (PRS) Combination Rate  | 
            
             10.61%  | 
            
             25.81%  | 
            
             
  | 
            
             
  | 
        
| 
             Prenatal Immunization Status (PRS-E) Combination Rate  | 
            
             10.61%  | 
            
             25.81%  | 
            
             10.98%  | 
            
             24.92%  | 
        
| 
             Risk of Continued Opioid Use (COU) 31-Day Total  | 
            
             6.03%  | 
            
             ≤ 2.45%  | 
            
             6.78%  | 
            
             ≤ 2.79%  | 
        
| 
             Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total  | 
            
             81.03%  | 
            
             81.64%  | 
            
             79.33%  | 
            
             83.00%  | 
        
| 
             Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total  | 
            
             58.18%  | 
            
             73.63%  | 
            
             59.95%  | 
            
             74.07%  | 
        
| 
             Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy  | 
            
             71.08%  | 
            
             67.07%  | 
            
             71.51%  | 
            
             67.01%  | 
        
| 
             Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80%  | 
            
             57.52%  | 
            
             70.37%  | 
            
             57.40%  | 
            
             70.91%  | 
        
| 
             Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total  | 
            
             47.79%  | 
            
             63.89%  | 
            
             46.69%  | 
            
             64.10%  | 
        
| 
             Use of Imaging Studies for Low Back Pain (LBP)  | 
            
             70.93%  | 
            
             75.44%  | 
            
             68.00%  | 
            
             72.74%  | 
        
| 
             Use of Opioids at High Dosage (HDO)  | 
            
             0.65%  | 
            
             ≤ 2.19%  | 
            
             0.55%  | 
            
             ≤ 2.14%  | 
        
| 
             Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies  | 
            
             1.06%  | 
            
             ≤ 0.87%  | 
            
             1.15%  | 
            
             ≤ 1.22%  | 
        
| 
             Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile  | 
            
             77.37%  | 
            
             83.21%  | 
            
             81.07%  | 
            
             86.20%  | 
        
NA = Not Available Due to Small Denominator 
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate
