Monday, February 19, 2024 is Presidents’ Day, our offices will be closed. Have a safe holiday.

Home 5 Providers 5 Quality of Care 5 Performance Measures

Performance Measures

The 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.

Current Performance Measures
Measurement Year 2023 MCAS
Measurement Year 2024 MCAS

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


CenCal Health would like to thank providers for their support during the HEDIS® Quality of Care Compliance Audit™, which evaluated effectiveness of care, access and availability, and other important aspects of care and service.2

CenCal Health’s provider network rated among the best 5% of Medicaid plans nationally for four aspects of care, and in the top 10% for an additional five. This year’s results mark another great performance by providers to assure members received vitally important preventive services and treatment.


  • Both counties surpassed high performance levels for:
    • Timeliness of Postpartum Care
    • HbA1c Poor Control (Lower Rate Best)
    • Follow-Up After ED Visit for Alcohol & Other Drug Abuse/Dependance
  • In Santa Barbara County, high performance was also achieved for:
    • Adolescent Immunizations (Tdap, HPV, Meningococcal)
    • Well Child Exams for Ages 15 – 30 Months
    • Breast Cancer Screening
  • In San Luis Obispo, opportunities for improvement include:
    • Lead Screening for Children
    • Controlling High Blood Pressure
  • In Santa Barbara County, opportunities for improvement include:
    • Lead Screening for Children
    • Controlling High Blood Pressure
    • Follow-Up After ED Visit for Mental Illness

Member engagement and provider partnerships are essential to achieve improved health outcomes. Detailed practice-specific HEDIS® Measurement Year 2022 results can be requested by contacting the Quality Measurement team, at (805) 562-1609. CenCal Health’s results are available below.

2NCQA HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).

Below are the most recent results:


MY2022 HEDIS Results

MY2022 Non-HEDIS Results

MY2022 Race & Ethnicity Results


Past Years

2021 Quality Results

2020 Quality Results