Filing · f0061
Aetna Better Health of Maryland
CVS Health / Aetna · Medicaid Managed Care · MD · CY2025
In 2025 this plan received 16,105 standard prior authorization requests and denied 23.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
23.2%
16,105 standard requests, 3,738 denied.
18.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 16,105 | 12,367 | 3,738 | 23.2% |
| Expedited | 1,473 | 1,023 | 450 | 30.6% |
| Extended review, approved | 1,372 | |||
Appeals of standard denials
| Appeals filed | 428 |
| Denials overturned | 78 |
| Overturn rate | 18.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.8 d | 1.0 d |
| Expedited | 31.7 h | 24.0 h |