Medicaid Quality of Care

Child and Adolescent Well 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.

Adolescent Well-Care Visit (12 to 21 Years Old) The percentage of members who were 12 to 21 years of age and who had at least one comprehensive well-care visit with a primary care practitioner or an OB/GYN practitioner during the measurement year. HMO Name Rate Data Collection Method Healthy U 33.1% Admin+Chart Review Molina 37.0% Admin+Chart Review National Average: 43.7%
Well-child visits in the 3rd/4th/5th/& 6th Year of Life The percentage of members who were three, four, five or six years of age who received one or more well-child visits with a primary care practitioner during the measurement year. HMO Name Rate Data Collection Method Healthy U 60.3% Admin+Chart Review Molina 56.0% Admin+Chart Review National Average: 66.8%
Well-Child Visits In The First 15 Months of Life The percentage of members who turned 15 months old during the measurement year and who had 5 well-child visits with a primary care practitioner during their first 15 months of life. HMO Name Rate Data Collection Method Healthy U 25.3% Admin+Chart Review Molina 23.6% Admin+Chart Review National Average: 17.3%
Well-Child Visits In The First 15 Months of Life The percentage of members who turned 15 months old during the measurement year and who had 6 or more well-child visits with a primary care practitioner during their first 15 months of life.. HMO Name Rate Data Collection Method Healthy U 47.9% Admin+Chart Review Molina 55.6% Admin+Chart Review National Average: 55.6%