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)  | 
            
             70.09%  | 
            
             64.90%  | 
            
             61.75%  | 
            
             66.15%  | 
        
| 
             Annual Dental Visits (ADV) Total  | 
            
             NB  | 
            
             54.60%  | 
            
             
  | 
            
             
  | 
        
| 
             Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment  | 
            
             49.97%  | 
            
             46.74%  | 
            
             43.60%  | 
            
             48.16%  | 
        
| 
             Appropriate Testing for Pharyngitis (CWP)  | 
            
             35.00%  | 
            
             77.56%  | 
            
             43.19%  | 
            
             85.11%  | 
        
| 
             Appropriate Treatment for Upper Respiratory Infection (URI) Total  | 
            
             93.09%  | 
            
             93.08%  | 
            
             89.16%  | 
            
             91.27%  | 
        
| 
             Asthma Medication Ratio (AMR) Total  | 
            
             61.84%  | 
            
             69.41%  | 
            
             58.68%  | 
            
             70.56%  | 
        
| 
             Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB)  | 
            
             54.12%  | 
            
             66.19%  | 
            
             53.76%  | 
            
             67.03%  | 
        
| 
             Blood Pressure Control (<140/90) for Patients With Diabetes (BPD)  | 
            
             63.26%  | 
            
             68.61%  | 
            
             67.88%  | 
            
             71.78%  | 
        
| 
             Breast Cancer Screening (BCS)  | 
            
             51.83%  | 
            
             55.25%  | 
            
             
  | 
            
             
  | 
        
| 
             Breast Cancer Screening (BCS-E)  | 
            
             51.72%  | 
            
             54.94%  | 
            
             51.75%  | 
            
             56.66%  | 
        
| 
             Cervical Cancer Screening (CCS)  | 
            
             51.09%  | 
            
             59.85%  | 
            
             50.36%  | 
            
             60.10%  | 
        
| 
             Childhood Immunization Status (CIS) Combination #10  | 
            
             33.33%  | 
            
             35.04%  | 
            
             26.28%  | 
            
             31.32%  | 
        
| 
             Chlamydia Screening in Women (CHL) Total  | 
            
             61.48%  | 
            
             61.07%  | 
            
             65.28%  | 
            
             61.46%  | 
        
| 
             Controlling High Blood Pressure (CBP)  | 
            
             58.64%  | 
            
             65.45%  | 
            
             67.88%  | 
            
             67.40%  | 
        
| 
             Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)  | 
            
             80.53%  | 
            
             80.86%  | 
            
             86.42%  | 
            
             83.51%  | 
        
| 
             Eye Exam for Patients With Diabetes (EED)  | 
            
             53.04%  | 
            
             56.20%  | 
            
             54.01%  | 
            
             57.09%  | 
        
| 
             Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA) 7-Day Follow-Up Total  | 
            
             17.85%  | 
            
             27.73%  | 
            
             19.99%  | 
            
             27.62%  | 
        
| 
             Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day Follow-Up Total  | 
            
             28.36%  | 
            
             46.35%  | 
            
             17.07%  | 
            
             44.33%  | 
        
| 
             Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Follow-Up Total  | 
            
             16.94%  | 
            
             41.03%  | 
            
             3.82%  | 
            
             42.86%  | 
        
| 
             Follow-Up After High-Intensity Care for Substance Use Disorder (FUI) 7-Day Follow-Up Total  | 
            
             16.67%  | 
            
             37.31%  | 
            
             8.08%  | 
            
             37.64%  | 
        
| 
             Follow-Up for Children Prescribed ADHD Medication (ADD) Continuation and Maintenance Phase  | 
            
             46.26%  | 
            
             57.90%  | 
            
             44.44%  | 
            
             56.86%  | 
        
| 
             Follow-Up for Children Prescribed ADHD Medication (ADD-E) Continuation and Maintenance Phase  | 
            
             
  | 
            
             
  | 
            
             44.44%  | 
            
             56.83%  | 
        
| 
             Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%)  | 
            
             56.45%  | 
            
             55.72%  | 
            
             55.23%  | 
            
             59.64%  | 
        
| 
             Immunizations for Adolescents (IMA) Combination #2  | 
            
             32.91%  | 
            
             38.93%  | 
            
             34.31%  | 
            
             38.69%  | 
        
| 
             Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Total  | 
            
             8.46%  | 
            
             16.94%  | 
            
             7.13%  | 
            
             16.78%  | 
        
| 
             Kidney Health Evaluation for Patients with Diabetes (KED)  | 
            
             48.18%  | 
            
             38.80%  | 
            
             49.91%  | 
            
             42.10%  | 
        
| 
             Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Blood Glucose and Cholesterol Testing Total  | 
            
             40.79%  | 
            
             39.01%  | 
            
             42.63%  | 
            
             41.92%  | 
        
| 
             Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM-E) Blood Glucose and Cholesterol Testing Total  | 
            
             
  | 
            
             
  | 
            
             42.63%  | 
            
             41.41%  | 
        
| 
             Pharmacotherapy for Opioid Use Disorder (POD) Total  | 
            
             21.51%  | 
            
             31.93%  | 
            
             10.48%  | 
            
             29.01%  | 
        
| 
             Pharmacotherapy Management of COPD Exacerbation (PCE) Systemic Corticosteroids  | 
            
             65.61%  | 
            
             75.79%  | 
            
             60.29%  | 
            
             74.78%  | 
        
| 
             Pharmacotherapy Management of COPD Exacerbation (PCE) Bronchodilator  | 
            
             86.07%  | 
            
             86.96%  | 
            
             82.90%  | 
            
             86.54%  | 
        
| 
             Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio 18-64 Years  | 
            
             86.88%  | 
            
             ≤ 92.72%  | 
            
             89.48%  | 
            
             ≤91.24%  | 
        
| 
             Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care  | 
            
             84.18%  | 
            
             86.86%  | 
            
             82.48%  | 
            
             86.89%  | 
        
| 
             Prenatal and Postpartum Care (PPC) Postpartum Care  | 
            
             82.00%  | 
            
             80.78%  | 
            
             79.56%  | 
            
             82.48%  | 
        
| 
             Prenatal Immunization Status (PRS) Combination Rate  | 
            
             22.97%  | 
            
             25.81%  | 
            
             
  | 
            
             
  | 
        
| 
             Prenatal Immunization Status (PRS-E) Combination Rate  | 
            
             22.97%  | 
            
             25.81%  | 
            
             24.36%  | 
            
             24.92%  | 
        
| 
             Risk of Continued Opioid Use (COU) 31-Day Total  | 
            
             2.74%  | 
            
             ≤ 2.45%  | 
            
             2.65%  | 
            
             ≤ 2.79%  | 
        
| 
             Statin Therapy for Patients with Cardiovascular Disease (SPC) Received Statin Therapy Total  | 
            
             55.46%  | 
            
             81.64%  | 
            
             79.69%  | 
            
             83.00%  | 
        
| 
             Statin Therapy for Patients with Cardiovascular Disease (SPC) Statin Adherence 80% Total  | 
            
             83.88%  | 
            
             73.63%  | 
            
             70.23%  | 
            
             74.07%  | 
        
| 
             Statin Therapy for Patients with Diabetes (SPD) Received Statin Therapy  | 
            
             69.49%  | 
            
             67.07%  | 
            
             68.26%  | 
            
             67.01%  | 
        
| 
             Statin Therapy for Patients with Diabetes (SPD) Statin Adherence 80%  | 
            
             82.00%  | 
            
             70.37%  | 
            
             66.41%  | 
            
             70.91%  | 
        
| 
             Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP) Total  | 
            
             29.46%  | 
            
             63.89%  | 
            
             57.81%  | 
            
             64.10%  | 
        
| 
             Use of Imaging Studies for Low Back Pain (LBP)  | 
            
             73.36%  | 
            
             75.44%  | 
            
             70.42%  | 
            
             72.74%  | 
        
| 
             Use of Opioids at High Dosage (HDO)  | 
            
             2.09%  | 
            
             ≤ 2.19%  | 
            
             1.75%  | 
            
             ≤ 2.14%  | 
        
| 
             Use of Opioids from Multiple Providers (UOP) Multiple Prescribers and Multiple Pharmacies  | 
            
             0.17%  | 
            
             ≤ 0.87%  | 
            
             0.78%  | 
            
             ≤ 1.22%  | 
        
| 
             Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Percentile  | 
            
             82.97%  | 
            
             83.21%  | 
            
             87.35%  | 
            
             86.20%  | 
        
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate
