HEDIS® Results

Apple Health (Medicaid) HEDIS® Annual Rates.

Molina’s scores for the past two years are below. You can see how Molina performs compared to the NCQA 66.67th percentile Quality Compass Benchmark.

The HEDIS reporting year is the year after the data was collected. For example, “2024 Rate” includes data from January to December 2023 and “2025 Rate” includes data from January to December 2024.

Measure

2024 Rate

2025 Rate

Goal

Effectiveness of Care: Prevention and Screening

Adult Immunization Status (AIS-E) - Influenza (Total)

17.60

17.01

18.61

Adult Immunization Status (AIS-E) - Pneumococcal (66+)

64.59

61.56

58.40

Adult Immunization Status (AIS-E) - Td/Tdap (Total)

55.36

58.61

50.60

Breast Cancer Screening (BCS-E)

48.83

50.45

58.93

Cervical Cancer Screening (CCS) -Total

53.77

53.53

61.52

Childhood Immunization Status (CIS) - Combo 10

29.44

23.60

30.41

Chlamydia Screening in Women (CHL) Total

44.83

43.36

62.81

Immunizations for Adolescents (IMA) - Combination 2

32.60

23.60

40.39

Lead Screening in Children (LSC) -Total

26.03

39.66

74.62

Oral Evaluation, Dental Services (OED) - Total

-

-

49.54

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) - BMI percentile (Total)

73.24

77.81

87.69

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) - Counseling for Nutrition (Total)

65.45

70.41

77.70

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) - Counseling for Physical Activity (Total)

61.80

63.27

75.91

Effectiveness of Care: Respiratory

Asthma Medication Ratio (AMR) -Total

74.60

82.78

68.13

Appropriate Testing for Pharyngitis (CWP) -Total

83.89

87.65

87.31

Pharmacotherapy Management of COPD Exacerbation (PCE) - Bronchodilator

84.15

86.01

86.25

Pharmacotherapy Management of COPD Exacerbation (PCE) -Systemic Corticosteroid

75.38

77.34

74.92

Effectiveness of Care: Cardiovascular

Controlling High Blood Pressure (CBP)

60.83

65.82

70.35

Statin Therapy for Patients With Cardiovascular Disease (SPC) - Received Statin Therapy (Total)

82.50

81.65

82.94

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

71.52

72.69

75.45

Effectiveness of Care: Diabetes

Blood Pressure Control for Patients With Diabetes (BPD)

71.05

73.48

74.21

Eye Exam for Patients With Diabetes (EED)

46.96

51.34

60.83

Glycemic Status Assessment for Patients With Diabetes (GSD) - Glycemic Status <8.0%

53.77

58.15

63.04

Glycemic Status Assessment for Patients With Diabetes (GSD) - Glycemic Status >9.0%

37.96

33.58

27.98

Kidney Health Evaluation for Patients With Diabetes (KED) - Total

41.95

43.58

46.17

Statin Therapy for Patients With Diabetes (SPD) - Received Statin Therapy

62.49

63.93

69.01

Statin Therapy for Patients With Diabetes (SPD) - Statin Adherence 80%

69.39

71.11

72.29

Effectiveness of Care: Behavioral Health

Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)

68.04

69.27

69.67

Antidepressant Medication Management (AMM) - Effective Acute Phase Treatment

65.60

66.73

66.99

Antidepressant Medication Management (AMM) - Effective Continuation Phase Treatment

46.71

48.46

49.88

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

81.00

82.19

84.36

Follow-Up After Emergency Department Visit for Mental Illness (FUM) - 30 days (Total)

66.85

64.78

62.41

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

52.12

50.88

46.71

Follow-Up After Emergency Department Visit for Substance Use (FUA) - 30 days (Total)

42.59

44.58

43.24

Follow-Up After Emergency Department Visit for Substance Use (FUA) - 7 days (Total)

27.92

30.54

30.53

Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) - 30 days (Total)

62.31

59.81

62.24

Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) - 7 days (Total)

43.32

41.43

40.55

Follow-Up After Hospitalization for Mental Illness (FUH) - 30 days (Total)

63.18

66.68

67.40

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

39.75

43.26

45.08

Follow-Up Care for Children Prescribed ADHD Medication (ADD-E) - Initiation Phase

45.76

46.48

49.56

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

52.41

54.88

58.69

Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E) - Blood Glucose and Cholesterol Testing (Total)

28.70

29.24

41.52

Effectiveness of Care: Access/Availability of Care

Initiation and Engagement of Substance Use Disorder Treatment (IET) - Initiation of SUD Treatment - Total (Total)

48.97

51.70

49.03

Initiation and Engagement of Substance Use Disorder Treatment (IET) - Engagement of SUD Treatment - Total (Total)

16.05

19.51

17.80

Prenatal and Postpartum Care (PPC) - Timeliness of Prenatal Care

88.56

89.05

88.56

Prenatal and Postpartum Care (PPC) - Postpartum Care

84.67

84.43

83.94

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

63.18

58.97

82.10

MHW Part #5341-2601

MHW 01/05/2026 HCA 02/09/2026 (59438)

 

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.