HHW, HIP, HCC Technical Report.pdf

March 2026

2025 Annual

EQR Technical Report Indiana Family and Social Services Office of Medicaid Policy and Planning Final

2025 ANNUAL EQRO TECHNICAL REPORT

Indiana FSSA Office of Medicaid Policy and Planning

Table of Contents List of Tables List of Figures Acknowledgements, Acronyms, and Initialisms Overview

OMPP Background Members OMPP Quality Strategy Overview OMPP Strategic Objectives for Quality Improvement Quality Strategy Evaluation and Conclusions EQR Activities

EQR Mandatory Activities CMS National Quality Strategy

Quality of Care Timeliness of Care Access to Care

Technical Report Guidelines EQRO Team

Protocol 1: Performance Improvement Project (PIP) Validation 54 Objectives Technical Methods of Data Collection and Analysis Description of Data Obtained Interventions Performance Measures and Measurement Scores Validation Results MY 2024 PIPs Strengths, Weaknesses, and Recommendations Improvements Since the MY 2024 PIP Validation Conclusions and Recommendations

Anthem CareSource MDwise

MHS

UHC

Protocol 2: Performance Measure Validation (PMV) Objectives Technical Methods of Data Collection and Analysis

Performance Measures HEDIS® Measures

Description of Data Obtained Data Integration, Data Control, and Performance Measure Documentation

Claims/Encounter Data System Enrollment/Eligibility Data System Provider Systems Data Integration, Software Integration, and Measure Development

Performance Measure Data Validation Performance Measures Additional Performance Measures HEDIS® Measures

Improvements from 2024 PMV Strengths and Weaknesses Conclusions and Recommendations

Anthem CareSource

Table of Contents

Indiana FSSA Office of Medicaid Policy and Planning

MDwise

MHS

UHC

Protocol 3: Compliance Assessment (CA) Objectives Technical Methods for Data Collection and Analysis Description of Data Obtained Strengths and Weaknesses Performance Improvement Recommendations Conclusions

Anthem CareSource MDwise

MHS

UHC

Protocol 4: Annual Network Adequacy (ANA) Overview Objectives Geographic Network Adequacy Analysis

Objectives Technical Methods of Data Collection and Analysis Analysis Description of Data Obtained Provider Network Adequacy by Geography Anthem Member Population Anthem HHW Accessibility by Provider Type Anthem HIP Accessibility by Provider Type Anthem HCC Accessibility by Provider Type

CareSource Member Populations CareSource HHW Accessibility by Provider Service Type CareSource HIP Accessibility by Provider Type MDwise Member Population MDwise HHW Accessibility by Provider Service Type MDwise HIP Accessibility by Provider Service Type MHS Member Population MHS HHW Accessibility by Provider Service Type MHS HIP Accessibility by Provider Service Type MHS HCC Accessibility by Provider Service Type UHC Member Population UHC HCC Accessibility by Provider Service Type Assessment of Annual Reports 0902 and 0903 Issued to the State Assessment of Provider Directories Issued to Members

Secret Shopper Survey Objectives Description of Data Obtained Technical Methods of Data Collection and Analysis Secret Shopper Results Survey Results Appointment Wait Times Provider Directory Inaccuracies

Strengths and Weaknesses Improvements Conclusions and Recommendations

Anthem CareSource

Table of Contents

Indiana FSSA Office of Medicaid Policy and Planning

MDwise

MHS

UHC

Protocol 9: Conducting Focus Studies of Health Care Quality 241 Overview Study 1 Background Study 1 Purpose and Objectives Technical Methods of Data Collection and Analysis Findings Strengths, Weaknesses, and Conclusions Conclusions Recommendations Study 2 Background Study 2 Purpose and Objectives Technical Methods of Data Collection and Analysis Findings

MCE-Reported MY 2024 Diabetes Outcomes MCE-Reported MY 2024 Schizophrenia Population Diabetes Outcomes Care Management and Patient Engagement

Conclusions

Recommendations 2025 EQR Conclusions

PIP Validation

PMV

CA

ANA

Conducting Focus Studies for Health Care Quality

Appendix A | PIP Validation Findings ......................................... A-1 Appendix B | ANA Analysis Methodology and Ratios............... B-1

Excluded Source Data Records ............................................... B-1 Anthem .................................................................................... B-1 CareSource ............................................................................. B-2 MDwise .................................................................................... B-3 MHS ........................................................................................ B-4 UHC ......................................................................................... B-6

Geographic Considerations Regarding the Calculation of Provider to Member Ratios....................................................... B-7 Provider to Member Ratios....................................................... B-8

Appendix C | Detailed Analysis of Provider Network Access .. C-1 Provider Network by County .................................................... C-1 Provider Network Accessibility by Category........................C-26

Indiana FSSA Office of Medicaid Policy and Planning

List of Tables Table 1. Total MCE and IHCP Members by Month Table 2. Hoosier Healthwise Quality Strategy Initiatives Table 3. Healthy Indiana Plan Quality Strategy Initiatives Table 4. Hoosier Care Connect Quality Strategy Initiatives Table 5. EQR Activities Conducted in 2025 Table 6. PIP Steps Table 7. PIP Validation Rating Criteria Table 8. PIP Topics by MCE and IHCP Table 9. PIP Validation Status and Measurement Year Table 10. PIP Aim Statements and Populations Table 11. MY 2024 PIP Interventions Table 12. PIP Validation Status and Performance Scores Table 13. PIP Validation Status and Performance Scores Table 14. PIP Strengths Table 15. PIP Weaknesses (AONs) Table 16. Performance Measure Validation Status Table 17. Performance Measures Table 18. Additional Performance Measures Table 19. Data Integration, Data Control, and Performance Measure Documentation Table 20. Key Performance Measure Review Results Table 21. 2025 PMV: Initial Health Needs Screening Performance Measure Table 22. 2025 PMV: Comprehensive Health Assessment Tool Performance Measure – HCC Only Table 23. 2025 PMV: Institution for Mental Disease Member Use Performance Measure Table 24. 2025 PMV: Dentists and Oral Surgeons Network Adequacy Performance Measure Table 25. 2025 PMV: Plan All-Cause Readmission Table 26. 2025 PMV: HEDIS® Color and Measure Designations .. 111 Table 27. 2025 PMV: HIP HEDIS® Measures

Table 28. 2025 PMV: HHW HEDIS® Measures Table 29. 2025 PMV: HCC HEDIS® Measures Table 30. HEDIS® Findings Summary by MCE and IHCP Table 31. PMV Strengths Table 32. PMV Weaknesses Table 33. Compliance Standards Table 34. Compliance Rating Criteria Table 35. 2024 Compliance Standard Scores Table 36. 2024 File Review Score Table 37. CA Strengths by Standard Table 38. CA Weaknesses (AONs) by Standard Table 39. 2024 Compliance Standard Score Comparison Table 40. Improvement Rating Criteria Table 41. 2021 Recommendations Addressed in 2024 Table 42. Annual Network Adequacy Validation Score Table 43. Annual Network Adequacy Validation Score Table 44. Accessibility by Provider Service Type Table 45. Count of Providers – Verification of Report 0902 Table 46. Member Access to Providers – Verification of Report 0903 Table 47. Provider Directory Completeness Table 48. Secret Shopper Survey Results Table 49. Secret Shopper Unable to Reach Reasons Table 50. Secret Shopper Unable to Obtain Appointment Reasons Table 51. Appointment Wait Time Compliance Table 52. Provider Directory Inaccuracies Table 53. ANA Strengths Table 54. ANA Weaknesses Table 55. Improvement Rating Criteria Table 56. MY 2023 Recommendations Addressed in MY 2024

List of Tables

Indiana FSSA Office of Medicaid Policy and Planning

Table 57. MCE Reported Diabetes Outcomes by Program for MY 2024 Table 58. MCE Total Member Counts by Health Program Table 59. MCE HEDIS® Reported Schizophrenia Population Diabetes Outcomes by Program for MY 2024 Table 60. MCE Reported Schizophrenia Population Diabetes Outcomes by Program for MY 2024 Table A-1. 2025 PIP Details for MCEs ............................................ A-1 Table B-1. Source Records Excluded from Analysis – Anthem ...... B-1 Table B-2. Source Records Excluded from Analysis – CareSource . B- Table B-3. Source Records Excluded from Analysis – MDwise ..... B-4 Table B-4. Source Records Excluded from Analysis – MHS .......... B-5 Table B-5. Source Records Excluded from Analysis – UHC .......... B-6 Table B-6. Provider to Member Ratios – Anthem ........................... B-8 Table B-7. Provider to Member Ratios – CareSource .................... B-9 Table B-8. Provider to Member Ratios – MDwise ......................... B-11

Table B-9. Provider to Member Ratios – MHS .............................. B-13 Table B-10. Provider to Member Ratios – UHC ............................ B-14 Table C-1. Count of Providers by County – Anthem ....................... C-1 Table C-2. Count of Providers by County – CareSource ................ C-6 Table C-3. Count of Providers by County – MDwise ....................C-11 Table C-4. Count of Providers by County – MHS .........................C-17 Table C-5. Count of Providers by County – UHC .........................C-22 Table C-6. Anthem Member Access to Providers – Verification of Report 0903 ...................................................................................C-27 Table C-7. CareSource Member Access to Providers – Verification of Report 0903 ...................................................................................C-34 Table C-8. MDwise Member Access to Providers – Verification of Report 0903 ...................................................................................C-38 Table C-9. MHS Member Access to Providers – Verification of Report 0903 ..............................................................................................C-43 Table C-10. UHC Member Access to Providers – Verification of Report 0903 ..............................................................................................C-50

Indiana FSSA Office of Medicaid Policy and Planning

List of Figures Figure 1. PIP Validation Score Comparison Figure 2. HHW – Member Population Figure 3. HIP – Member Population Figure 4. HCC – Member Population Figure 5. HHW Diagnostic Testing Figure 6. HHW Nonhospital Based Anesthesiologists Figure 7. HHW Oral Surgeons Figure 8. HHW Orthodontists Figure 9. HHW Prosthetic Suppliers Figure 10. HHW Radiation Oncologists Figure 11. HIP Dentists Figure 12. HIP Diagnostic Testing Figure 13. HIP Nonhospital Based Anesthesiologists Figure 14. HIP Oral Surgeons Figure 15. HIP Orthodontists Figure 16. HIP Prosthetic Suppliers Figure 17. HIP Radiation Oncologists Figure 18. HCC Diagnostic Testing Figure 19. HCC Nonhospital Based Anesthesiologist Figure 20. HCC Oral Surgeons Figure 21. HCC Orthodontists Figure 22. HCC Prosthetic Suppliers Figure 23. HCC Radiation Oncologists Figure 24. HHW Member Population Figure 25. HIP Member Population Figure 26. HHW Dentists Figure 27. HHW Diagnostic Testing Figure 28. HHW Home Health Providers Figure 29. HHW Inpatient Psychiatric Facilities Figure 30. HHW Interventional Radiologist Figure 31. HHW Orthodontist Figure 32. HIP Dentists

Figure 33. HIP Diagnostic Testing Figure 34. HIP Home Health Providers Figure 35. HIP Inpatient Psychiatric Facilities Figure 36. HIP Interventional Radiologists Figure 37. HIP Oral Surgeons Figure 38. HIP Orthodontists Figure 39. HHW Member Population Figure 40. HIP Member Population Figure 41. HHW Dentists Figure 42. HHW Diagnostic Testing Figure 43. HHW Home Health Providers Figure 44. HHW Inpatient Psychiatric Facilities Figure 45. HHW Orthodontists Figure 46. HIP Dentists Figure 47. HIP Diagnostic Testing Figure 48. HIP Home Health Providers Figure 49. HIP Inpatient Psychiatric Facilities Figure 50. HIP Orthodontists Figure 51. HHW Member Population Figure 52. HIP Member Population Figure 53. HCC Member Population Figure 54. HHW Cardiothoracic Surgeons Figure 55. HHW Cardiovascular Surgeons Figure 56. HHW Dentists Figure 57. HHW Dermatologists Figure 58. HHW Diagnostic Testing Figure 59. HHW DME Figure 60. HHW Endocrinologists Figure 61. HHW Gastroenterologists Figure 62. HHW Hematologists Figure 63. HHW Inpatient Psychiatric Facilities Figure 64. HHW Nephrologists

List of Figures

Indiana FSSA Office of Medicaid Policy and Planning

Figure 65. HHW Oncologists Figure 66. HHW Ophthalmologists Figure 67. HHW Oral Surgeons Figure 68. HHW Orthodontists Figure 69. HHW Otolaryngologists Figure 70. HHW PMP – Physicians Figure 71. HHW Pulmonologists Figure 72. HHW Radiation Oncologists Figure 73. HHW Speech Therapists Figure 74. HHW Rheumatologist Figure 75. HHW Urologists Figure 76. HIP Cardiothoracic Surgeons Figure 77. HIP Cardiovascular Surgeons Figure 78. HIP Dentists Figure 79. HIP Diagnostic Testing Figure 80. HIP DME Figure 81. HIP Endocrinologists Figure 82. HIP Hematologists Figure 83. HIP Inpatient Psychiatic Facilities Figure 84. HIP Oncologists Figure 85. HIP Oral Surgeons Figure 86. HIP Orthodontists Figure 87. HIP Pulmonologists Figure 88. HIP Speech Therapists Figure 89. HCC Cardiothoracic Surgeons Figure 90. HCC Cardiovascular Surgeons Figure 91. HCC Dentists Figure 92. HCC Dermatologists

Figure 93. HCC Diagnostic Testing Figure 94. HCC DME Figure 95. HCC Endocrinologists Figure 96. HCC Gastroenterologists Figure 97. HCC Hematologists Figure 98. HCC Inpatient Psychiatric Facilities Figure 99. HCC Nephrologists Figure 100. HCC Oncologists Figure 101. HCC Ophthalmologists Figure 102. HCC Orthodontists Figure 103. HCC Otolaryngologists Figure 104. HCC PMP – Physicians Figure 105. HCC Podiatrists Figure 106. HCC Pulmonologists Figure 107. HCC Rheumatologists Figure 108 HCC Speech Therapists Figure 109. HCC Member Population Figure 110. HCC Dentists Figure 111. HCC Diagnostic Testing Figure 112. HCC Interventional Radiologist Figure 113. HCC Orthodontists Figure 114. HCC Rheumatologists Figure 115. Enablers to Depression Screening Figure 116. Barriers to Depression Screening Figure 117. Enablers to Timely Follow-Up Figure 118. Barriers to Timely Follow-Up Figure 119. MCE Reported Barriers to Care Management Enrollment

Indiana FSSA Office of Medicaid Policy and Planning

Acknowledgements, Acronyms, and Initialisms1 AAP ........... Adults’ Access to Preventive/Ambulatory Health Services ABA ............................................................. Applied Behavior Analysis ADA ..................................................... Americans with Disabilities Act AHU .............................................................. Acute Hospital Utilization AMR ............................................................. Asthma Medication Ratio ANA ............................................................ Annual Network Adequacy Anthem ........... Blue Cross Blue Shield Anthem, Managed Care Entity AOD ................................ Alcohol and Other Drug Abuse/Dependence AON ................................................................. Area of Noncompliance APM-E .... Metabolic Monitoring for Children and Adolescents on Anti-

Psychotics Axon ................................... Axon Advisors, Limited Liability Company BPD ....................... Blood Pressure Control for Patients with Diabetes BR ..................................................................................... Biased Rate CA ................................................................. Compliance Assessment CAHPS® ....................................Consumer Assessment of Healthcare Providers and Systems CAP ................................................................... Corrective Action Plan CareSource ...................... CareSource Indiana, Managed Care Entity CBP ........................................................... Controlling Blood Pressure CDF ...................................... Screening for Depression and Follow-up CFR ........................................................ Code of Federal Regulations CHIP .......................................... Children's Health Insurance Program CHL ............................................................. Community Health Liason CHW ........................................................... Community Health Worker CIS-E ........................................... Childhood and Immunization Status CM .......................................................................... Case Management CMR ............................................. Comprehensive Medication Review

1 Other company and product names may be trademarks of the respective companies with which they are associated. The mention of such companies and product names is with due recognition and without intent to misappropriate such names or marks.

CMS .................................. Centers for Medicare & Medicaid Services CY ................................................................................. Calendar Year DME ......................................................... Durable Medical Equipment DSF-E ....... Depression Screening and Follow-up for Adolescents and

Adults DSMES ................ Diabetes Self-Management Education and Support EDU ............................................... Emergency Department Utilization EED ............................................ Eye Exam for Patients with Diabetes EHR .............................................................. Electronic Health Record EQR ................................................................ External Quality Review EQRO ....................................... External Quality Review Organization ER ........................................................................... Emergency Room ESRD .......................................................... End-Stage Renal Disease ESRI ArcGIS® ........... Environmental Systems Research Institute, Inc.

ArcGISTM FSSA .................... Indiana Family and Social Services Administration FUA Follow-Up After Emergency Department Visit for Substance Use FUH ........................ Follow-Up After Hospitalization for Mental Illness FUM .. Follow-Up After Emergency Department Visit for Mental Illness GMI ..................................................... Glucose Management Indicator GSD ............. Glycemic Status Assessment for Patients with Diabetes Hb ...................................................................................... Hemoglobin HBD ................ Hemoglobin A1c Control <8 for Patients with Diabetes HCC ...................................................................Hoosier Care Connect HEDIS® ............... Healthcare Effectiveness Data and Information Set, a registered trademark of the NCQA HHS ................................. Department of Health and Human Services HHW ...................................................................... Hoosier Healthwise

Acknowledgements, Acronyms, and Initialisms

Indiana FSSA Office of Medicaid Policy and Planning

HIE ......................................................... Health Information Exchange HIP ...................................................................... Healthy Indiana Plan HMO ................................................ Health Maintenance Organization HNS ............................................................... Health Needs Screening ID ...................................................................................... Identification IDSS ........................................... Interactive Data Submission System IET ................... Initiation and Engagement of Alcohol and Other Drug IHCP ............................................. Indiana Health Coverage Programs IMA-E .................................................. Immunizations for Adolescents IMD ....................................................... Institutions for Mental Disease ISCA/ISCAT ........... Information Systems Capability Assessment Tool KED .................... Kidney Health Evaluation for Patients with Diabetes LLC .............................................................. Limited Liability Company MCE ................................................................... Managed Care Entity MHS ........................ Managed Health Services, Managed Care Entity MLTSS .......................... Managed Long-Term Services and Supports MMIS ................................ Medicaid Management Information System mPulse ................. An UnitedHealthcare Centralized Vendor Program MSLC .............................. Myers & Stauffer Limited Liability Company MSR ...................................................... Minimum Submission Review MTM ................................. Medication Therapy Management Program MY .......................................................................... Measurement Year NA ................................................................................. Not Applicable NB ........................................................................................ No Benefit NCQA ................................ National Committee for Quality Assurance NQ ................................................................................... Not Required NR ................................................................................... Not Reported OB/GYN ...................................................... Obstetrician/Gynecologist ODW ........................................................ Operations Data Warehouse OED .................................................. Oral Evaluation, Dental Services OMPP ...................................... Office of Medicaid Policy and Planning P4O ................................................................. Payment-for-Outcomes

P&P .................................................................... Policy and Procedure PCHM ................................................ Patient-Centered Medical Home PCP .................................................. Primary Care Provider/Physician PCR ....................................................... Plan All-Cause Readmissions PDF ........................................................... Portable Document Format PDSA ...................................................................... Plan-Do-Study-Act PHQ ........................................................ Patient Health Questionnaire PIP ................................................. Performance Improvement Project PIRT .............................. Preeclampsia Interdisciplinary Review Team PMP .............................................................. Primary Medical Provider PMV .................................................. Performance Measure Validation PND-E ........................ Prenatal Depression Screening and Follow-Up PPC ............................... Timeliness of Prenatal and Postpartum Care PPD-E ................... Postpartum Depression Screening and Follow-Up QI ......................................................................... Quality Improvement Qsource® ............................................. EQRO, a registered trademark RFI ...................................................................Request for Information Roadmap ................ Record of Administration, Data Management and

Processes SAA ....... Adherence to Antipsychotic Medications for Individuals with

Schizophrenia SDOH ................................................... Social Determinants of Health SMC ....... Cardiovascular Monitoring for Persons with Cardiovascular

Disease and Schizophrenia SMD .................... Diabetes Monitoring for Persons with Diabetes and

Schizophrenia SMI .................................................................... Serious Mental Illness SMS ................................................................. Short Message Service SQL .......................................................... Structured Query Language SSD…..Diabetes Screening for Persons with Schizophrenia or Bipolar Disorder Using Antipsychotic Medications SSFB .................................................................... Start Smart for Baby SSI ....................................................... Supplemental Security Income

Acknowledgements, Acronyms, and Initialisms

Indiana FSSA Office of Medicaid Policy and Planning

SUD ............................................................... Substance Use Disorder TBD ......................................................................... To be Determined TMR ......................................................... Targeted Medication Review UHC ................................... UnitedHealthcare, a Managed Care Entity UM ................................................................... Utilization Management

VBP .................................................................. Value-Based Payment VRI .................................................................... A ModivCare® Service WCV ........................................ Child and Adolescent Well-Care Visits W30 ..............................Well-Child Visits in the First 30 Months of Life

Indiana FSSA Office of Medicaid Policy and Planning

Overview In accordance with Title 42 Code of Federal Regulations (CFR) § 438.364, Qsource has produced this 2024 Annual External Quality Review Organization (EQRO) Technical Report to summarize the quality, timeliness, and accessibility of care furnished to enrollees in the Indiana Family and Social Services Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) program by the Managed Care Entities (MCEs) and their respective Indiana Health Coverage Plans (IHCPs).

Indiana’s MCEs include Blue Cross Blue Shield Anthem (hereafter referred to as Anthem), CareSource Indiana (hereafter referred to as CareSource), MDwise, Managed Health Services (hereafter referred to as MHS), and UnitedHealthcare (hereafter referred to as UHC).

OMPP contracted with Qsource to conduct External Quality Review (EQR) activities and ensure that the results of those activities are reviewed to perform an external, independent assessment and produce an annual report. Qsource serves as OMPP’s EQRO and prepared this 2025 Annual EQRO Technical Report to document the MCEs’ IHCPs' performance in providing services to enrollees, identify areas for improvement, and recommend interventions to improve the process and outcomes of care.

This section provides a brief history of OMPP, the population(s) served by each IHCP, enrollee data for each MCE, OMPP’s quality improvement initiative descriptions with calendar year

(CY) 2024 results, the mandatory EQR activities conducted by Qsource in 2025 (including targeted quality objectives), guidelines provided by the Centers for Medicare & Medicaid Services (CMS) for reporting EQR activities, and the intended utilization for this report.

OMPP Background The FSSA OMPP manages the administration of Medicaid health coverage programs for Indiana Hoosiers. OMPP’s collection of programs offers three risk-based IHCPs, which are described below. Each serves as a safeguard for providing necessary services to distinct, susceptible populations throughout Indiana.

♦ The Healthy Indiana Plan (HIP) was created in January 2008 under a separate Section 1115 waiver authority. The HIP 2.0 model is a health insurance program that offsets medical, vision, and dental service costs for adults between the ages of 19 and 64 who meet designated income limitations. The HIP program provides qualified adults access to comprehensive benefits without high-cost premiums or expensive copays. HIP is responsible for supplying preventive health care and services to thousands of Indiana residents while encouraging appropriate Emergency Room (ER) usage.

♦ Hoosier Care Connect (HCC) provides health coverage for individuals who require similar services but do not qualify for Medicare; these populations include those aged 65 and over, blind, disabled, and/or those receiving Supplemental Security Income (SSI). The program also provides health

Overview

Indiana FSSA Office of Medicaid Policy and Planning coverage for many of Indiana’s foster children. The program was implemented in April 2015, under a 1915(b)-waiver authority. Members enrolled in the HCC program receive all Indiana Medicaid-covered benefits in addition to individualized care coordination services based on assessed member needs. The care of Hoosier Care Connect members is managed through a contracted network of primary medical providers (PMPs), specialists, and other care providers.

♦ Hoosier Healthwise (HHW) services Indiana’s Children’s Health Insurance Program (CHIP) population that provides health insurance programs to children and pregnant women who earn too much to qualify for traditional Medicaid but not enough to purchase private health insurance. The program began in 1994 with members having the option to enroll with an IHCP in 1996, voluntarily. By 2005, enrollment with an IHCP was mandatory for low-income families, pregnant women, and children. The HHW program’s objective is to improve the health of Indiana residents by focusing on the healthy growth and development of Indiana children and pregnant women.

Five MCEs are contracted with the state of Indiana:

♦ Anthem;

♦ CareSource;

♦ MDwise;

♦ MHS; and

♦ UHC.

Anthem and MHS service the HHW, HIP, and HCC lines of business for risk-based managed care, while CareSource and MDwise service the HHW and HIP lines of business. UHC services only the HCC line of business. As of January 1, 2026, MDwise will no longer service the HHW and HIP lines of business, after FSSA ended their contract.

Members According to the FSSA narrative on the monthly Medicaid financial report for December 2024, published in March 2025, Medicaid enrollment across all programs and delivery systems totaled 1,969,829 individuals, as of December 2024, which was 73,068 (3.6%) below the forecasted amount. This is down 42,560 members in comparison to the December 2023 enrollment number of 2,012,389. This is, in part, due to the launch of the Managed Long-Term Services and Supports (MLTSS) program Indiana PathWays for Aging on July 1, 2024, which shifted enrollment of 116,785 individuals from Medicaid fee-for-service and Hoosier Care Connect to the new Indiana PathWays for Aging managed care program.

Table 1 presents enrollment for 2024 by month.

Indiana FSSA Office of Medicaid Policy and Planning

Table 1. Total MCE and IHCP Members by Month Jan-24 Feb-24 Mar-24 Apr-24 May-24 Jun-24 Jul-24 Aug-24 Sep-24 Oct-24 Nov-24 Dec-24 Healthy Indiana Plan

Anthem 338,361 334,950 332,630 328,783 325,224 322,627 325,158 324,149 323,330 321,815 316,818 316,787

CareSource 81,316 81,183 81,314 80,926 90,563 80,480 81,677 81,878 82,370 82,699 81,810 82,826

MDwise 161,205 160,187 159,569 158,434 157,019 156,131 157,073 156,571 156,166 155,377 153,254 153,736

MHS 136,705 135,924 135,586 134,754 133,625 133,023 134,455 134,158 134,091 133,865 132,330 133,015

Total 717,587 712,244 709,099 702,897 706,431 692,261 698,363 696,756 695,957 693,756 684,212 686,364 Hoosier Healthwise

Anthem 314,359 313,062 313,191 312,729 310,755 308,654 309,136 310,458 311,516 309,683 309,029 309,623

CareSource 78,793 78,580 78,792 78,955 78,732 78,490 78,780 79,227 79,722 79,517 79,681 80,254

MDwise 206,883 205,142 204,159 202,875 200,701 198,754 198,371 198,612 198,978 197,745 197,090 197,010

MHS 180,903 179,871 179,833 179,310 177,824 175,925 175,646 176,153 176,741 175,802 175,590 176,088

Total 780,938 776,655 775,975 773,869 768,012 761,823 761,933 764,450 766,957 762,747 761,390 762,975 Hoosier Care Connect Anthem 56,818 56,417 56,228 56,023 55,779 55,359 44,829 45,030 45,367 45,676 45,892 46,031

MHS 32,957 32,875 32,797 32,804 32,688 32,469 27,749 27,836 28,137 28,342 28,440 28,504

UHC 6,353 6,497 6,579 6,686 6,688 6,621 5,584 5,679 5,841 5,931 5,995 6,031

Total 96,128 95,789 95,604 95,513 95,155 94,449 78,162 78,545 79,345 79,949 80,327 80,566

OMPP Quality Strategy Overview Under regulations at 42 CFR 438.340(a) and 42 CFR 457.1240(e), CMS requires state Medicaid agencies that contract with MCEs to develop and maintain a Medicaid quality strategy to assess and improve the quality of health care and services provided by MCEs.

In 2024, Indiana outlined specific quality initiatives for the HHW, HIP, and HCC programs for the 2024-2027 time period.

The initiatives outline global aims that OMPP has identified that support the objectives for all its programs. The initiatives are at the forefront of planning and implementation of this Quality

Indiana FSSA Office of Medicaid Policy and Planning

Strategy. Ongoing monitoring will provide OMPP with quality-related data for future monitoring and planning. To this end, OMPP established the Five Pillars of Well Being, based on State health initiatives, input from external partners, the review of State and national data, and the needs of the population. These Five Pillars are aligned with the Medicaid Child and Adult Core Sets. These initiatives are listed below.

1. Behavioral Health – Improve health outcomes through preventive care and behavioral health condition management.

a. Improve use of preventive behavioral health screenings and follow up.

b. Improve care coordination and follow up for members with mental health and substance use disorders.

2. Maternal/Child Health – Improve the health and wellness of pregnant persons, new mothers, infants, and children.

a. Improve access to care for infants, children, and adolescents, with a focus on preventive and developmental screenings and well child visits.

b. Ensure early detection and follow up regarding prenatal and postpartum depression.

3. Oral Health – Improve oral health and prevent oral disease.

a. Improve access to dental services.

b. Increase utilization of annual dental visits to improve prevention of oral disease.

4. Chronic Conditions – Improve the health of members with chronic conditions.

a. Reduce complications for members diagnosed with diabetes.

b. Reduce emergency room utilization and inpatient readmission for members with chronic disease.

5. Care Coordination – Enhance care and service coordination between care settings.

a. Deliver person-centered services and supports.

b. Assure timely access to appropriate services and supports to enable participants to live in their setting of choice.

c. Increase outpatient provider visits and medication reviews after inpatient admission or transitions between level of care setting.

d. Reduce inpatient readmissions for physical and behavioral health.

OMPP Strategic Objectives for Quality Improvement The development of the HHW, HIP, and HCC quality strategy initiatives is based on identified trends in health care issues within the state of Indiana, attainment of the current quality strategy goals, close monitoring by OMPP of the MCEs’ and IHCPs’ performance and unmet objectives, and opportunities for improvement identified in the external quality review.

The MCEs must submit quarterly updates to OMPP about the projects determined in their annual work plan. These reports are shared with Indiana’s Quality Strategy Committee.

Tables 2, 3, and 4 present the strategic initiatives for each MCE, with their 2023 and 2024 achievement results against the OMPP-established goals. Where the MCEs display

Indiana FSSA Office of Medicaid Policy and Planning improvement from Measurement Year (MY) 2023 to MY 2024, the MY 2024 score is accompanied by a green arrow (↑); where the MCE’s scores went down, the score is accompanied by a red arrow (↓). If an arrow does not accompany the score, the score did not change, or the comparison is not applicable due to not applicable (NA) measurement. A column indicating whether or not each MY 2024 result met the established goal is addressed under goal attainment of these tables. Please note that Goal 2 of the Five Pillars does not apply to HCC’s population.

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Goal 1: Improve Health Outcomes Through Preventive Care and Behavioral Health Condition Management Measure: Follow-Up After Emergency Department Visit for Substance Use (FUA) 7-Day and 30-Day Follow-Up

Domain: Quality and Access to Care

Healthcare Effectiveness

Data and Information Set

(HEDIS®)

measure using administrative data

Anthem 7-Day: 29.0 7-Day: 17.78 7-Day: 29.09 7-Day: 21.98 ↓ Not Met

30-Day: 40.0 30-Day: 27.77 30-Day: 40.85 30-Day: 28.02 ↓ Not Met

CareSource 7-Day: 29.0 7-Day: 17.78 7-Day: 24.64 7-Day: 30.30 ↑ Met

30-Day: 40.0 30-Day: 27.77 30-Day: 34.78 30-Day: 37.88 ↑ Not Met

MDwise 7-Day: 29.0 7-Day: 17.78 7-Day: 13.59 7-Day: 15.03 ↑ Not Met

30-Day: 40.0 30-Day: 27.77 30-Day: 21.04 30-Day: 23.70 ↑ Not Met

MHS

7-Day: 29.0 7-Day: 17.78 7-Day: 20.60 7-Day: 18.11 ↓ Not Met

30-Day: 40.0 30-Day: 27.77 30-Day: 33.48 30-Day: 29.13 ↓ Not Met

Measure: Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day and 30- Day Follow-Up

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 7-Day: 38.0 7-Day: 43.44 7-Day: 36.74 7-Day: 52.81 ↑ Met

30-Day: 56.0 30-Day: 67.47 30-Day: 58.11 30-Day: 74.49 ↑ Met

CareSource 7-Day: 38.0 7-Day: 43.44 7-Day: 46.89 7-Day: 60.92 ↑ Met

30-Day: 56.0 30-Day: 67.47 30-Day: 73.08 30-Day: 82.53 ↑ Met

MDwise 7-Day: 38.0 7-Day: 43.44 7-Day: 39.49 7-Day: 39.49 Met

30-Day: 56.0 30-Day: 67.47 30-Day: 61.56 30-Day: 60.11 ↓ Met

MHS

7-Day: 38.0 7-Day: 43.44 7-Day: 41.51 7-Day: 48.19 ↑ Met

30-Day: 56.0 30-Day: 67.47 30-Day: 67.20 30-Day: 73.17 ↑ Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Measure: Follow-Up After Emergency Department Visit for Mental Illness (FUM) 7-Day and 30-Day Follow-Up

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 7-Day: 40.0 7-Day: 47.14 7-Day: 40.78 7-Day: 52.61 ↑ Met

30-Day: 54.0 30-Day: 61.58 30-Day: 53.82 30-Day: 70.21 ↑ Met

CareSource 7-Day: 40.0 7-Day: 47.14 7-Day: 49.37 7-Day: 61.36 ↑ Met

30-Day: 54.0 30-Day: 61.58 30-Day: 69.62 30-Day: 75.00 ↑ Met

MDwise 7-Day: 40.0 7-Day: 47.14 7-Day: 53.23 7-Day: 51.35 ↓ Met

30-Day: 54.0 30-Day: 61.58 30-Day: 67.99 30-Day: 69.14 ↑ Met

MHS

7-Day: 40.0 7-Day: 47.14 7-Day: 44.87 7-Day: 51.97 ↑ Met

30-Day: 54.0 30-Day: 61.58 30-Day: 63.84 30-Day: 70.79 ↑ Met

Measure: Initiation and Engagement of Alcohol and Other Drug (IET)

Domain: Timely Access to Care

HEDIS®

measure using administrative data

Anthem Total: 43.0

Initiation of AOD - Alcohol Abuse or Dependence (Total) 31.18

42.39 44.54 ↑ Met

Engagement of AOD - Alcohol Abuse or Dependence (Total) 9.63

20.49 13.45 ↓ Not Met

Initiation of AOD - Opioid Abuse or Dependence (Total) 55.66

64.72 62.96 ↓ Met

Engagement of AOD - Opioid Abuse or Dependence (Total) 34.60

46.85 35.80 ↓ Not Met

Initiation of AOD - Other Drug Abuse or Dependence (Total) 43.70

34.54 49.20 ↑ Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Engagement of AOD - Other Drug Abuse or Dependence (Total) 14.21

16.38 15.63 ↓ Not Met

Initiation of AOD - Total (Total) 41.44 41.87 49.20 ↑ Met

Engagement of AOD - Total (Total) 14.78 22.57 16.57 ↓ Not Met

CareSource Total: 43.0

Initiation of AOD - Alcohol Abuse or Dependence (Total) 31.18

Not Reported 29.03 Not Met

Engagement of AOD - Alcohol Abuse or Dependence (Total) 9.63

Not Reported 6.45 Not Met

Initiation of AOD - Opioid Abuse or Dependence (Total) 55.66

Not Reported 100 Met

Engagement of AOD - Opioid Abuse or Dependence (Total) 34.60

Not Reported 57.14 Met

Initiation of AOD - Other Drug Abuse or Dependence (Total) 43.70

Not Reported 43.45 Met

Engagement of AOD - Other Drug Abuse or Dependence (Total) 14.21

Not Reported 14.29 Not Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Initiation of AOD - Total (Total) 41.44 53.54 41.35 ↓ Not Met

Engagement of AOD - Total (Total) 14.78 20.00 13.50 ↓ Not Met

MDwise Total: 43.0

Initiation of AOD - Alcohol Abuse or Dependence (Total) 31.18

35.23 35.75 ↑ Not Met

Engagement of AOD - Alcohol Abuse or Dependence (Total) 9.63

11.08 10.88 ↓ Not Met

Initiation of AOD - Opioid Abuse or Dependence (Total) 55.66

57.81 71.11 ↑ Met

Engagement of AOD - Opioid Abuse or Dependence (Total) 34.60

36.72 42.22 ↑ Not Met

Initiation of AOD - Other Drug Abuse or Dependence (Total) 43.70

45.20 43.69 ↓ Met

Engagement of AOD - Other Drug Abuse or Dependence (Total) 14.21

14.31 14.16 ↓ Not Met

Initiation of AOD - Total (Total) 41.44 43.97 43.33 ↓ Met

Engagement of AOD - Total (Total) 14.78 15.43 14.93 ↓ Not Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

MHS Total: 43.0

Initiation of AOD - Alcohol Abuse or Dependence (Total) 31.18

29.43 Not Reported Not

Reported

Engagement of AOD - Alcohol Abuse or Dependence (Total) 9.63

12.97 Not Reported Not

Reported

Initiation of AOD - Opioid Abuse or Dependence (Total) 55.66

55.07 Not Reported Not

Reported

Engagement of AOD - Opioid Abuse or Dependence (Total) 34.60

34.06 Not Reported Not

Reported

Initiation of AOD - Other Drug Abuse or Dependence (Total) 43.70

36.83 Not Reported Not

Reported

Engagement of AOD - Other Drug Abuse or Dependence (Total) 14.21

11.72 Not Reported Not

Reported

Initiation of AOD - Total (Total) 41.44 36.96 43.74 ↑ Met

Engagement of AOD - Total (Total) 14.78 14.30 16.71 ↑ Not Met

Measure: Adherence to Antipsychotic Medications for

HEDIS®

measure using administrative

Anthem 58.82 52.90 56.67 61.54 ↑ Met

CareSource 58.82 52.90 55.56 100 ↑ Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Individuals with Schizophrenia (SAA)

Domain: Timely Access to Care data MDwise 58.82 52.90 37.14 28.57 ↓ Not Met

MHS 58.82 52.90 28.57 22.22 ↓ Not Met

Measure: Metabolic Monitoring for Children and Adolescents on Anti-Psychotics (APM- E)

Domain: Timely Access to Care

HEDIS®

measure using administrative data

Anthem

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose Testing (Total) 51.17

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose Testing (Total) 20.17

52.04 51.23 ↓ Met

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 33.09

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 26.81

33.09 32.50 ↓ Not Met

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 32.11

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 24.39

32.11 31.52 ↓ Not Met

CareSource

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose Testing

56.27 48.88 ↓ Not Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Testing (Total) 51.17

(Total) 20.17

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 33.09

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 26.81

33.17 34.38 ↑ Met

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 32.11

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 24.39

32.19 33.26 ↑ Met

MDwise

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose Testing (Total) 51.17

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose Testing (Total) 20.17

45.88 49.45 ↑ Not Met

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 33.09

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 26.81

28.01 31.07 ↑ Not Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 32.11

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 24.39

26.77 29.97 ↑ Not Met

MHS

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose Testing (Total) 51.17

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose Testing (Total) 20.17

50.25 54.16 ↑ Met

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 33.09

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Cholesterol Testing (Total) 26.81

31.86 36.28 ↑ Met

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 32.11

Metabolic Monitoring for Children and Adolescents on Antipsychotics - Blood Glucose and Cholesterol Testing (Total) 24.39

30.04 34.43 ↑ Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Measure: Diabetes Screening for Persons with Schizophrenia or Bipolar Disorder Using Antipsychotic Medications (SSD)

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 82.55 78.80 84.03 81.41 ↓ Not Met

CareSource 82.55 78.80 74.55 87.50 ↑ Met

MDwise 82.55 78.80 70.05 74.16 ↑ Not Met

MHS 82.55 78.80 75.82 85.14 ↑ Met

Measure:

Cardiovascular Monitoring for Persons with Cardiovascular Disease and Schizophrenia (SMC)

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 73.17 Not Reported 76.34 NA* Not Applicable

CareSource 73.17 Not Reported NA NA Not Applicable

MDwise 73.17 Not Reported NA NA Not Applicable

MHS 73.17 Not Reported NA NA Not Applicable

Measure: Diabetes Monitoring for Persons with Diabetes and Schizophrenia (SMD)

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 70.05 62.50 74.06 100 ↑ Met

CareSource 70.05 62.50 100 NA Not Applicable

MDwise 70.05 62.50 NA 100 Met

MHS 70.05 62.50 NA NA Not Applicable

Goal 2: Improve the Health and Wellness of Pregnant Persons, New Mothers, Infants, and Children Measure: Timeliness of Prenatal Care (PPC- 1)

HEDIS®

measure using administrative data

Anthem 85.0 83.26 92.70 88.32 ↓ Met

CareSource 85.0 83.26 87.59 91.24 ↑ Met

MDwise 85.0 83.26 81.92 87.31 ↑ Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment

Domain: Timely Access to Care MHS 85.0 83.26 82.48 86.37 ↑ Met

Measure: Postpartum Care (PPC-2)

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 83.0 82.15 88.08 83.45 ↓ Met

CareSource 83.0 82.15 85.40 91.48 ↑ Met

MDwise 83.0 82.15 86.15 83.46 ↓ Met

MHS 83.0 82.15 85.16 86.37 ↑ Met

Measure: Well-Child Visits in the First 30 Months of Life- 0-15 months and 15-30 months (W30)

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 0-15 months: 61.0

61.95

68.94 69.87 ↑ Met

15-30 months:

69.0 71.09 72.39 ↑ Met

CareSource 0-15 months: 61.0

61.95

61.19 64.20 ↑ Met

15-30 months:

69.0 70.55 72.85 ↑ Met

MDwise 0-15 months: 61.0

61.95

62.09 60.24 ↓ Not Met

15-30 months:

69.0 66.65 68.33 ↑ Not Met

MHS

0-15 months: 61.0

61.95

61.80 66.13 ↑ Met

15-30 months:

69.0 71.87 72.34 ↑ Met

Measure: Child and Adolescent Well-Care Visits (WCV)

Domain: Quality and Access to Care

HEDIS®

measure using administrative data

Anthem 51.65 48.40 52.78 55.54 ↑ Met

CareSource 51.65 48.40 52.18 55.00 ↑ Met

MDwise 51.65 48.40 48.52 50.33 ↑ Not Met

MHS 51.65 48.40 54.89 57.23 ↑ Met

Measure: Childhood HEDIS® Anthem 34.0 27.27† 25.30 22.93 ↓ Not Met

Indiana FSSA Office of Medicaid Policy and Planning

Table 2. Hoosier Healthwise Quality Strategy Initiatives

Measure and Domain Methodology MCE Goal

Statewide Performance

Baseline

MY 2023

Results

MY 2024

Results

Goal Attainment and Immunization Status – Combo 10

(CIS-E)

Domain: Quality and Access to Care measure using administrative data

CareSource 34.0 27.27† 21.01 26.97 ↑ Not Met

MDwise 34.0 27.27† 21.56 21.39 ↓ Not Met

MHS 34.0 27.27† 23.35 23.55 ↑ Not Met

Measure:

Immunizations for Adolescents (IMA-E)

Domain: Timely Access to Care

HEDIS®

measure using administrative data

Anthem 35.0 34.73† 30.62 30.93 ↑ Not Met

CareSource 35.0 34.73† 27.47 29.80 ↑ Not Met

MDwise 35.0 34.73† 32.07 31.60 ↓ Not Met

MHS 35.0 34.73† 29.20 33.34 ↑ Not Met

Goal 3: Improve Oral Health and Prevent Oral Disease Measure: Oral Evaluation, Dental Services (OED)

Domain: Access to Care

HEDIS®

measure using administrative data

Anthem 40.0 New Measure for MY 2023 43.21 46.08 ↑ Met

CareSource 40.0 New Measure for MY 2023 39.58 41.70 ↑ Met

MDwise 40.0 New Measure for MY 2023 46.49 47.65 ↑ Met

MHS 40.0 New Measure for MY 2023 45.96 48.44 ↑ Met

Measure: Dentists and Oral Surgeons Network Adequacy

Domain: Quality and Access to Care

OMPP-chosen performance measure using administrative data

Anthem 2 within 60 miles Not Applicable 90 Counties Met…