Filing · f0017
PerformCare Pennsylvania (HealthChoices BH)
AmeriHealth Caritas · Medicaid Managed Care · PA · CY2025
In 2025 this plan received 15,405 standard prior authorization requests and denied 0.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
0.2%
15,405 standard requests, 31 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 15,405 | 15,374 | 31 | 0.2% |
| Expedited | 12,116 | 12,107 | 9 | 0.1% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 1 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 9.6 d | 0.0 d |
| Expedited | 3.3 h | 0.0 h |