Filing · f0143
Buckeye Health Plan (Ohio Medicaid)
Centene · Medicaid Managed Care · OH · CY2025
In 2025 this plan received 145,653 standard prior authorization requests and denied 24.7% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
24.7%
145,653 standard requests, 35,982 denied.
38.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 145,653 | 109,671 | 35,982 | 24.7% |
| Expedited | 2,592 | 1,945 | 647 | 25.0% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 2,310 |
| Denials overturned | 886 |
| Overturn rate | 38.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 2.0 d |
| Expedited | 24.0 h | 24.0 h |