Filing · f0154
Iowa Total Care
Centene · Medicaid Managed Care · IA · CY2025
In 2025 this plan received 154,659 standard prior authorization requests and denied 13.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
13.2%
154,659 standard requests, 20,385 denied.
57.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 154,659 | 134,274 | 20,385 | 13.2% |
| Expedited | 1,967 | 1,596 | 371 | 18.9% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 1,764 |
| Denials overturned | 1,006 |
| Overturn rate | 57.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |