Medicaid Quality of Care

Child and Adolescent Health Care

Star ratings and state averages were not computed for Medicaid plans since only two plans submit HEDIS data to the state. Performance measures should be compared to the national average.

REMEMBER: Differences between HMOs may be caused by differences in performance OR by differences in data collection.

Appropriate Testing for Children with Pharyngitis The percentage of members 2 to 18 years of age who were diagnosed with pharyngitis, dispensed an antibiotic and received a group A streptococcus (strep) test for the episode. A higher rate represents better performance (i.e., appropriate testing). HMO Name Rate Data Collection Method Healthy U 73.4% Administrative Molina 76.9% Administrative National Average: 55.7%

Appropriate Treatment for Children with Upper Respiratory Infection The percentage of members ages 3 months to 18 years of age who were given a diagnosis of upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the Episode Date. HMO Name Rate Data Collection Method Healthy U 92.0% Administrative Molina 93.0% Administrative National Average: 83.3%