Filing · f0120
Absolute Total Care Medicaid
Centene · Medicaid Managed Care · SC · CY2025
In 2025 this plan received 56,881 standard prior authorization requests and denied 17.7% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
17.7%
56,881 standard requests, 10,081 denied.
52.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 56,881 | 46,800 | 10,081 | 17.7% |
| Expedited | 989 | 781 | 208 | 21.0% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 719 |
| Denials overturned | 379 |
| Overturn rate | 52.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |