Filing · f0211
CountyCare Health Plan (HealthChoice Illinois Medicaid)
CountyCare Health Plan (Cook County Health) · Medicaid Managed Care · IL · CY2025
In 2025 this plan received 241,756 standard prior authorization requests and denied 10.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
Standard denial rate
10.0%
241,756 standard requests, 24,266 denied.
24.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 241,756 | 217,490 | 24,266 | 10.0% |
| Expedited | 35,841 | 34,596 | 1,245 | 3.5% |
This payer also printed its own standard denial rate: 10.0%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | 889 |
| Denials overturned | 213 |
| Overturn rate | 24.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.9 d | 0.3 d |
| Expedited | 21.1 h | 18.5 h |
What the checks found
warnexpedited_slower_than_standard
expedited mean 21.1h exceeds standard mean 0.87d (21h)