Filing · f0229
EmblemHealth Child Health Plus
EmblemHealth · CHIP Managed Care · NY · CY2025
In 2025 this plan received 6,070 standard prior authorization requests and denied 17.9% of them. The median for CHIP Managed Care plans of comparable size is 15.6%.
Standard denial rate
17.9%
6,070 standard requests, 1,084 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 6,070 | 4,986 | 1,084 | 17.9% |
| Expedited | 122 | 101 | 21 | 17.2% |
| Extended review, approved | 3 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 53 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 2.1 d | — |
| Expedited | — | — |