MedicaidAdministrativeMedium impact
23-680m Improve Quality Metrics While Helping Members Manage Asthma
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +2 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
This policy provides quality improvement guidelines for asthma care focusing on medication adherence and the HEDIS Asthma Medication Ratio (AMR) measure. It emphasizes patient education, proper medication management, and tracking controller vs. rescue medication usage to achieve an AMR ratio of 0.50 or higher.
Action Required
Immediately: Providers should begin tracking HEDIS Asthma Medication Ratio (AMR) for patients ages 5-64 with persistent asthma, aiming for controller medication ratios of 0.50 or higher. Clinical staff must prioritize discussions about medication adherence during routine visits and use the provided assessment questions for patients with ratios below 0.50. Download and utilize the member flyers and provider tip sheets from the policy resources.