Filing · f0164
NH Healthy Families
Centene · Medicaid Managed Care · NH · CY2025
In 2025 this plan received 39,685 standard prior authorization requests and denied 13.4% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. 2 checks flagged this filing.
Standard denial rate
13.4%
39,685 standard requests, 5,310 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 39,685 | 33,320 | 5,310 | 13.4% |
| Expedited | 730 | 693 | 37 | 5.1% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.1 d | 0.0 d |
| Expedited | 45.3 h | 3.3 h |
What the checks found
errorstd_counts_reconcile
33,320 approved + 5,310 denied = 38,630, but total is 39,685 (1,055 unaccounted, 2.7%)
infoappeals_not_reported
no appeal outcome data published