Filing · f0192
Central California Alliance for Health
Central California Alliance for Health · Medicaid Managed Care · CA · CY2025
In 2025 this plan received 518,170 standard prior authorization requests and denied 1.6% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
1.6%
518,170 standard requests, 8,029 denied.
22.8% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 518,170 | 510,141 | 8,029 | 1.6% |
| Expedited | 30,388 | 30,300 | 88 | 0.3% |
| Extended review, approved | 900 | |||
Appeals of standard denials
| Appeals filed | 434 |
| Denials overturned | 99 |
| Overturn rate | 22.8% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.5 d | 0.0 d |
| Expedited | 8.6 h | 0.0 h |