Filing · f0161
Magnolia Health Plan (MSCAN)
Centene · Medicaid Managed Care · MS · CY2025
In 2025 this plan received 104,537 standard prior authorization requests and denied 18.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
18.2%
104,537 standard requests, 19,068 denied.
48.6% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 104,537 | 85,469 | 19,068 | 18.2% |
| Expedited | 943 | 758 | 185 | 19.6% |
| Extended review, approved | 3,690 | |||
Appeals of standard denials
| Appeals filed | 753 |
| Denials overturned | 366 |
| Overturn rate | 48.6% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.0 d |
| Expedited | 24.0 h | 0.0 h |