Filing · f0149
Delaware First Health CHIP
Centene · CHIP Managed Care · DE · CY2025
In 2025 this plan received 618 standard prior authorization requests and denied 12.1% of them. The median for CHIP Managed Care plans of comparable size is 15.6%.
Standard denial rate
12.1%
618 standard requests, 75 denied.
100.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 618 | 543 | 75 | 12.1% |
| Expedited | 9 | 8 | 1 | 11.1% |
| Extended review, approved | 25 | |||
Appeals of standard denials
| Appeals filed | 3 |
| Denials overturned | 3 |
| Overturn rate | 100.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 48.0 h | 24.0 h |