Filing · f0018
AmeriHealth Caritas Delaware (Medicaid)
AmeriHealth Caritas Family of Companies · Medicaid Managed Care · DE · CY2025
In 2025 this plan received 70,575 standard prior authorization requests and denied 28.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
28.3%
70,575 standard requests, 19,987 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 70,575 | 50,588 | 19,987 | 28.3% |
| Expedited | 6,971 | 6,110 | 861 | 12.4% |
This payer also printed its own standard denial rate: 28.3%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 305 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.4 d | 3.0 d |
| Expedited | 35.6 h | 22.0 h |