Quality Measures/HEDIS

Healthcare Effectiveness and Data Information Set 

Recognizing that counties may not have the capacity to respond to the state’s requirement to report on quality/Healthcare Effectiveness Data and Information Set (HEDIS) measures, CalMHSA now calculates those measures on behalf of 43 counties managing Mental Health Plans, Drug Medi-Cal Organized Delivery System Plans, and Drug Medi-Cal State Plans. This work creates a standard approach and saves time and resources, allowing counties to dedicate time to improving measure performance. It includes:

• Calculating nine measures annually for counties that run Mental Health Plans and Drug Medi-Cal Organized Delivery System Plans
• Calculating five measures annually for counties that run Mental Health Plans and four for Drug Medi-Cal State Plans

Measure Year 2025 Certification Report

Measure Year 2024 Certification Report

NCQA Certified Vendor List

PowerBI dashboards: CalMHSA created and maintains PowerBI dashboards based on data from CalMHSA’s semi-statewide electronic health record system, which is used by 25 counties.

HEDIS Communications Portal: Please visit the CalMHSA MY25 HEDIS Communications Portal for key dates, resources, and announcements. This resource is for use by county behavioral health plans that have a signed MY25 HEDIS participation agreement with CalMHSA.