Filing · f0058
Aetna Better Health of Illinois
CVS Health / Aetna · Medicaid Managed Care · IL · CY2025
In 2025 this plan received 110,555 standard prior authorization requests and denied 15.6% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
15.6%
110,555 standard requests, 17,278 denied.
13.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 110,555 | 93,277 | 17,278 | 15.6% |
| Expedited | 5,187 | 4,258 | 929 | 17.9% |
| Extended review, approved | 1,562 | |||
Appeals of standard denials
| Appeals filed | 3,284 |
| Denials overturned | 432 |
| Overturn rate | 13.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.3 d | 1.0 d |
| Expedited | 20.9 h | 24.0 h |