Filing · f0214

Driscoll Health Plan STAR

Driscoll Health Plan · Medicaid Managed Care · TX · 2025

This plan reported a 17.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicaid Managed Care plans of comparable size is 13.2%. 2 checks flagged this filing.

Standard denial rate
17.0%
This filing published percentages without counts. 28.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 17.0%
Expedited 4.0%

This payer also printed its own standard denial rate: 17.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate28.0%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard
Expedited
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified