Filing · f0191
YouthCare (HealthChoice Illinois Medicaid)
Centene · Medicaid Managed Care · IL · CY2025 (effective 12/31/2025)
In 2025 this plan received 10,423 standard prior authorization requests and denied 13.2% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
13.2%
10,423 standard requests, 1,371 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 10,423 | 9,052 | 1,371 | 13.2% |
| Expedited | 261 | 230 | 31 | 11.9% |
| Extended review, approved | 581 | |||
This payer also printed its own standard denial rate: 13.2%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 111 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 0.0 d |
| Expedited | 0.0 h | 0.0 h |