Filing · f0166
Oklahoma Complete Health - Children's Specialty Program
Centene · Medicaid Managed Care · OK · CY2025
In 2025 this plan received 9,290 standard prior authorization requests and denied 23.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
23.0%
9,290 standard requests, 2,132 denied.
53.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 9,290 | 7,158 | 2,132 | 23.0% |
| Expedited | 299 | 260 | 39 | 13.0% |
| Extended review, approved | 476 | |||
Appeals of standard denials
| Appeals filed | 88 |
| Denials overturned | 47 |
| Overturn rate | 53.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 24.0 h | 24.0 h |