Filing · f0046
CDPHP Child Health Plus
CDPHP · CHIP Managed Care · NY · CY2025
In 2025 this plan received 455 standard prior authorization requests and denied 18.0% of them. The median for CHIP Managed Care plans of comparable size is 15.6%.
Standard denial rate
18.0%
455 standard requests, 82 denied.
20.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 455 | 373 | 82 | 18.0% |
| Expedited | 47 | 46 | 1 | 2.1% |
| Extended review, approved | 2 | |||
Appeals of standard denials
| Appeals filed | 15 |
| Denials overturned | 3 |
| Overturn rate | 20.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 7.0 d | 5.0 d |
| Expedited | 35.0 h | 24.0 h |