GHC-SCW BadgerCare Plus (WI Medicaid)
Group Health Cooperative of South Central Wisconsin · Medicaid Managed Care · WI · CY2025 (Jan 1 - Dec 31, 2025)
This plan reported a 2.0% 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.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 2.0% |
| Expedited | — | — | — | 1.0% |
This payer also printed its own standard denial rate: 2.0%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 1.2 d | 0.0 d |
| Expedited | 9.6 h | 0.0 h |
no appeal outcome data published
filing publishes percentages without underlying counts; arithmetic cannot be verified