Filing · f0147
Community Health Plan of Imperial Valley Medi-Cal
Centene · Medicaid Managed Care · CA · CY2025
In 2025 this plan received 57,406 standard prior authorization requests and denied 7.6% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
7.6%
57,406 standard requests, 4,347 denied.
48.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 57,406 | 53,059 | 4,347 | 7.6% |
| Expedited | 13,973 | 13,529 | 444 | 3.2% |
| Extended review, approved | 183 | |||
Appeals of standard denials
| Appeals filed | 77 |
| Denials overturned | 37 |
| Overturn rate | 48.1% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |