HEDIS Results

Medicaid HEDIS® Annual Rates.

Molina’s scores are below. You can see how Molina performs compared to our target goal.
 

Measure / Data Element

2020

2020 Goal

Adherence to Antipsychotic Medications for Individuals with Schizophrenia (SAA)

53.21%

67.47%

Adult BMI Assessment (ABA)

NA

93.67%

Annual Dental Visits (ADV) Total

59.62%

64.11%

Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment

66.27%

40.95%

Appropriate Testing for Pharyngitis (CWP)

72.75%

86.51%

Appropriate Treatment for Upper Respiratory Infection (URI)

71.40%

94.88%

Asthma Medication Ratio (AMR) Total

NA

68.52%

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

44.87%

41.07%

Breast Cancer Screening (BCS)

NA

63.98%

Cervical Cancer Screening (CCS)

45.26%

66.49%

Childhood Immunization Status (CIS) Combination #10

NA

42.02%

Chlamydia Screening in Women (CHL) Total

53.91%

66.24%

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

55.43%

71.44%

Comprehensive Diabetes Care (CDC) HbA1c Control < 8.0%

36.05%

55.96%

Comprehensive Diabetes Care (CDC) Eye Exam

53.88%

64.72%

Controlling High Blood Pressure (CBP)

46.72%

66.91%

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

77.90%

84.27%

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

2.56%

16.93%

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

17.26%

49.65%

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

25.95%

42.69%

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

NA

62.69%

Immunizations for Adolescents (IMA) Combination #2

14.38%

40.39%

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

7.04%

18.12%

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

NA

42.77%

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

25.00%

40.90%

Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids

60.00%

75.38%

Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator

77.65%

87.93%

Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care

99.03%

87.59%

Prenatal and Postpartum Care (PPC) Postpartum Care

69.34%

69.83%

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

NA

81.24%

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

NA

69.97%

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

NA

67.19%

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

NA

66.42%

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

62.41%

66.58%

Use of Imaging Studies for Low Back Pain (LBP)

81.02%

76.02%

Use of Opioids at High Dosage (HDO)

BR

≤ 2.27%

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

BR

≤ 2.14%

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

57.91%

85.16%

 

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