Filing · f0275
iCare BadgerCare Plus
Humana / iCare · Medicaid Managed Care · WI · CY2025
In 2025 this plan received 8,424 standard prior authorization requests and denied 15.0% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
15.0%
8,424 standard requests, 1,265 denied.
21.2% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 8,424 | 7,159 | 1,265 | 15.0% |
| Expedited | 266 | 187 | 79 | 29.7% |
| Extended review, approved | 87 | |||
Appeals of standard denials
| Appeals filed | 33 |
| Denials overturned | 7 |
| Overturn rate | 21.2% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 1.0 d |
| Expedited | 17.0 h | 9.0 h |