Filing · f0168
Peach State Health Plan Medicaid
Centene · Medicaid Managed Care · GA · CY2025
In 2025 this plan received 215,415 standard prior authorization requests and denied 16.9% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
16.9%
215,415 standard requests, 36,400 denied.
46.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 215,415 | 179,015 | 36,400 | 16.9% |
| Expedited | 2,155 | 1,807 | 348 | 16.2% |
| Extended review, approved | 2 | |||
Appeals of standard denials
| Appeals filed | 1,861 |
| Denials overturned | 856 |
| Overturn rate | 46.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 2.0 d |
| Expedited | 24.0 h | 0.0 h |