Filing · f0141
Arizona Complete Health - Complete Care
Centene · Medicaid Managed Care · AZ · CY2025
In 2025 this plan received 164,338 standard prior authorization requests and denied 23.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
23.3%
164,338 standard requests, 38,302 denied.
30.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 164,338 | 126,036 | 38,302 | 23.3% |
| Expedited | 17,287 | 15,169 | 2,118 | 12.3% |
| Extended review, approved | 124 | |||
Appeals of standard denials
| Appeals filed | 1,493 |
| Denials overturned | 453 |
| Overturn rate | 30.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.0 d | 2.0 d |
| Expedited | 24.0 h | 24.0 h |