Performance Measures

qmp2The Healthcare Effectiveness Data and Information Set (HEDIS®) is a tool used by more than 90% of U.S. health plans to annually evaluate health plan performance on important aspects of care like preventive health screenings. HEDIS® performance is a way to assess CenCal Health's effectiveness as a managed care plan compared against other health plans nationally.

For additional information regarding CenCal Health's HEDIS program, please contact: (800) 421-2560 ext. 1609.

Highlights:

Overall, CenCal Health’s provider network rated in the top 5% among Medicaid plans nationally for six aspects of care and in the top 10% for an additional five. This marks another great performance by providers in delivering excellent service to our members.

CenCal Health thanks all providers for their support during the HEDIS® 2020 quality of care evaluation.

HEDIS logo 2020Below are the most recent results:

2020 Quality Results

2019 HEDIS Results

2018 HEDIS Results

Santa Barbara County Results

Quality of Care excellence achieved for:

(90th Percentile or higher)

  • A1c Poor Control (fewer diabetic members with A1c >9%)
  • Adolescent Immunizations (Tdap/Meningococcal/HPV)
  • Childhood Immunizations (DTaP, IPV, MMR, HiB, HepB, VZV, PCV, HepA, RV, flu)
  • Counseling for Children and Adolescents – BMI
  • Well Child Exams – 3 – 6 Years Old
  • Timeliness of Prenatal Care
  • Timeliness of Postpartum Care

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)

San Luis Obispo County Results

Quality of Care excellence achieved for:

(90th Percentile or higher)

  • Childhood Immunizations (DTaP, IPV, MMR, HiB, HepB, VZV, PCV, HepA, RV, flu)
  • Counseling for Children and Adolescents – BMI
  • Timeliness of Prenatal Care
  • Timeliness of Postpartum Care

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)