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Measuring our performance

Learn how we measure our performance. We want to make sure we give you the care and services you need to manage your health.

A nurse visits a patient at home

Ensuring you have the care you need

Learn about the tools we use to measure our performance so we can ensure you have the care you need. Check out how we’re doing in our annual reports.

The tools we use

We use a tool called HEDIS® (Healthcare Effectiveness Data and Information Set) to track the performance of your Florida Medicaid plan. Over 90% of America’s health plans use this tool. This large amount of data makes it easier to compare plans. The data is checked by officials using a process created by the National Committee for Quality Assurance (NCQA).

What is measured?

Many important health issues are measured. We measure these areas to make sure we are giving you the care you need.

Some of the areas we measure include:

  • Annual wellness check up
  • Antidepressant medication management
  • Asthma medication use
  • Breast cancer screening
  • Cervical Cancer Screening (CCS)
  • Childhood and adolescent immunization status
  • Childhood and adult weight/body mass index assessment
  • Comprehensive diabetes care
  • High blood pressure control

Helping us improve

These measurements help us see that our Florida Medicaid plan is meeting our members’ needs. It also shows us any areas that need improvement and how we can serve you better.

Check our scores

You can see for yourself how we score each year. We want you to feel confident that you have made the right choice in your plan.

Learn more

If you’re interested in knowing more about the measures, you can read more through the NCQA website, opens new window.

View the guide to HEDIS® measurements, PDF opens new window

Looking for help?

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Documents & forms

Find the documents and forms you need, including your member handbook.