Filing · f0276
iCare Family Care Partnership
Humana / iCare · Medicaid Managed Care · WI · CY2025
In 2025 this plan received 2,717 standard prior authorization requests and denied 11.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
11.3%
2,717 standard requests, 308 denied.
40.0% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 2,717 | 2,409 | 308 | 11.3% |
| Expedited | 217 | 192 | 25 | 11.5% |
| Extended review, approved | 40 | |||
Appeals of standard denials
| Appeals filed | 5 |
| Denials overturned | 2 |
| Overturn rate | 40.0% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 3.0 d |
| Expedited | 14.0 h | 3.0 h |