Filing · f0178
WellCare of Kentucky
Centene · Medicaid Managed Care · KY · CY2025
In 2025 this plan received 357,412 standard prior authorization requests and denied 14.9% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
14.9%
357,412 standard requests, 53,271 denied.
79.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 357,412 | 304,141 | 53,271 | 14.9% |
| Expedited | 23,700 | 23,003 | 697 | 2.9% |
This payer also printed its own standard denial rate: 14.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 2,364 |
| Denials overturned | 1,884 |
| Overturn rate | 79.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 24.0 h | 0.0 h |