Filing · f0277
iCare Medicaid SSI
Humana / iCare · Medicaid Managed Care · WI · CY2025
In 2025 this plan received 6,385 standard prior authorization requests and denied 13.3% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
13.3%
6,385 standard requests, 848 denied.
19.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 6,385 | 5,537 | 848 | 13.3% |
| Expedited | 231 | 188 | 43 | 18.6% |
| Extended review, approved | 388 | |||
Appeals of standard denials
| Appeals filed | 41 |
| Denials overturned | 8 |
| Overturn rate | 19.5% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 6.0 d | 5.0 d |
| Expedited | 22.0 h | 12.0 h |