Filing · f0111
Medi-Cal Dental Fee-for-Service
California DHCS · Medicaid FFS · CA · CY2025
In 2025 this plan received 3,138,788 standard prior authorization requests and denied 29.5% of them. The median for Medicaid FFS plans of comparable size is 7.4%.
Standard denial rate
29.5%
3,138,788 standard requests, 926,119 denied.
66.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 3,138,788 | 2,212,669 | 926,119 | 29.5% |
| Expedited | — | — | — | — |
| Extended review, approved | 188 | |||
Appeals of standard denials
| Appeals filed | 2,430 |
| Denials overturned | 1,623 |
| Overturn rate | 66.8% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.8 d | 5.0 d |
| Expedited | — | — |