Filing · f0155
Louisiana Healthcare Connections
Centene · Medicaid Managed Care · LA · CY2025
In 2025 this plan received 154,350 standard prior authorization requests and denied 22.6% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
22.6%
154,350 standard requests, 34,878 denied.
25.9% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 154,350 | 119,472 | 34,878 | 22.6% |
| Expedited | 2,224 | 1,829 | 395 | 17.8% |
| Extended review, approved | 5,526 | |||
Appeals of standard denials
| Appeals filed | 967 |
| Denials overturned | 250 |
| Overturn rate | 25.9% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |