Filing · f0207
CHPW Apple Health
Community Health Plan of Washington · Medicaid Managed Care · WA · CY2025
This plan published CY2025 prior authorization metrics without a denial rate that can be computed from counts.
Standard denial rate
—
This filing published percentages without counts.
50.1% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | 101,634 | 15,631 | — |
| Expedited | — | 7,602 | 638 | — |
| Extended review, approved | 2,947 | |||
Appeals of standard denials
| Appeals filed | 1,973 |
| Denials overturned | 989 |
| Overturn rate | 50.1% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.9 d |
| Expedited | 27.9 h | 4.0 h |