Filing · f0163
MHS Indiana - Hoosier Healthwise
Centene · Medicaid Managed Care · IN · CY2025
In 2025 this plan received 34,618 standard prior authorization requests and denied 20.7% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
20.7%
34,618 standard requests, 7,167 denied.
30.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 34,618 | 27,451 | 7,167 | 20.7% |
| Expedited | 427 | 374 | 53 | 12.4% |
| Extended review, approved | 4,776 | |||
Appeals of standard denials
| Appeals filed | 721 |
| Denials overturned | 221 |
| Overturn rate | 30.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 0.0 h | 0.0 h |