Filing · f0148
Coordinated Care (Apple Health)
Centene · Medicaid Managed Care · WA · CY2025
In 2025 this plan received 55,215 standard prior authorization requests and denied 21.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
21.3%
55,215 standard requests, 11,775 denied.
65.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 55,215 | 43,440 | 11,775 | 21.3% |
| Expedited | 1,116 | 872 | 244 | 21.9% |
| Extended review, approved | 1,700 | |||
Appeals of standard denials
| Appeals filed | 762 |
| Denials overturned | 496 |
| Overturn rate | 65.1% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |