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Medicaid Quality and Access of Care

Medicaid is a source of health insurance coverage for Utah’s vulnerable populations. Medicaid is a state and federal program that pays for medical services for low-income pregnant women, children, individuals who are elderly or have a disability, parents and women with breast or cervical cancer. To qualify, these individuals must meet income and other eligibility requirements. Contact Medicaid for more information about costs and enrollment.

Performance measures represent two to four questions asked in the survey. These questions are on a scale that includes “always”, “sometimes”, “usually”, or “never ”, or "yes" or "no".

The graphs represent the percentage of health plan members who gave their child's health plan a score of “usually” or” always”, or "yes" on this measure.



Getting Care Quickly:

What does this measure?

This measure asks enrollees how often their child received care as quickly as they wanted.

How is it measured?

This measure was created by combining different questions about “getting care quickly”; enrollees replied with “always”, “sometimes”, “usually”, or “never ”.

About the graph:

The graph represents the percentage of health plan members who gave their child's health plan a score of “usually” or” always” on this measure.

Health Choice : 94.46% ; SelectHealth Medicaid : 92.40% ; Utah FFS : 91.26% ; Molina : 86.35% ; Healthy U : 83.13%

Getting Needed Care:

What does this measure?

This measure asked enrollees how often they received the care they needed.

How is it measured?

This measure was created by combining different questions about getting needed care. Enrollees reply with “always”, “sometimes”, “usually”, or “never ”.

About the graph:

The graph represents the percentage of health plan members who gave their child's health plan a score of “usually” or” always” on this measure.

SelectHealth Medicaid : 87.45% ; Molina : 86.26% ; Healthy U : 80.26% ; Health Choice : 79.51% ; Utah FFS : 73.34%

Doctor's Communication:

What does this measure?

This measure asked enrollees how often their personal doctors listened and communicated well.

How is it measured?

This measure was created by combining different questions about how well “doctors communicated with their patients.” Enrollees replied with "always”, “sometimes”, "usually”, or “never ”.

About the graph:

The graph represents the percentage of health plan members who gave their child's health plan a score of “usually” or” always” on this measure.

SelectHealth Medicaid : 97.53% ; Healthy U : 95.89% ; Health Choice : 95.45% ; Molina : 94.95% ; Utah FFS : 94.83%

Customer Service:

What does this measure?

This measure asked how often customer service representatives were helpful and courteous

How is it measured?

This measure was created by combining different questions about how often health plans provide “customer service” well. Enrollees replied “always”, “sometimes”, "usually”, or “never ”.

About the graph:

The graph represents the percentage of health plan members who gave their child's health plan a score of “usually” or” always” on this measure.

Health Choice : 89.22% ; Molina : 89.20% ; SelectHealth Medicaid : 88.76% ; Healthy U : 86.67% ; Utah FFS : 78.14%

Shared Decision Making:

What does this measure?

This measure asked enrollees if their health provider discussed medicine options.

How is it measured?

This measure is created by combining different questions about discussions a member may have had with their health care provider about taking medicine. Enrollees replied “yes” or “no”.

About the graph:

The graph represents the percentage of health plan members who gave their health plan a score of “yes” on this measure.

SelectHealth Medicaid : 83.35% ; Healthy U : 82.71% ; Molina : 81.73% ; Health Choice : 79.50% ; Utah FFS : 75.64%