Filing · f0150
Delaware First Health Medicaid
Centene · Medicaid Managed Care · DE · CY2025
In 2025 this plan received 15,081 standard prior authorization requests and denied 12.8% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
12.8%
15,081 standard requests, 1,926 denied.
62.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 15,081 | 13,155 | 1,926 | 12.8% |
| Expedited | 367 | 320 | 47 | 12.8% |
| Extended review, approved | 641 | |||
Appeals of standard denials
| Appeals filed | 53 |
| Denials overturned | 33 |
| Overturn rate | 62.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 2.0 d |
| Expedited | 48.0 h | 24.0 h |