Filing · f0048
CDPHP Medicaid HARP
CDPHP · Medicaid Managed Care · NY · CY2025
In 2025 this plan received 1,770 standard prior authorization requests and denied 13.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
13.0%
1,770 standard requests, 230 denied.
16.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,770 | 1,540 | 230 | 13.0% |
| Expedited | 57 | 57 | 0 | 0.0% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 24 |
| Denials overturned | 4 |
| Overturn rate | 16.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.1 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |