Filing · f0153
Home State Health - Show Me Healthy Kids
Centene · Medicaid Managed Care · MO · CY2025
In 2025 this plan received 18,220 standard prior authorization requests and denied 14.8% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
14.8%
18,220 standard requests, 2,689 denied.
54.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 18,220 | 15,531 | 2,689 | 14.8% |
| Expedited | 55 | 47 | 8 | 14.6% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 106 |
| Denials overturned | 58 |
| Overturn rate | 54.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 0.0 d |
| Expedited | 0.0 h | 0.0 h |