Filing · f0288

Kaiser Foundation Health Plan of Colorado - CHIP

Kaiser Permanente · CHIP Managed Care · CO · CY2025

In 2025 this plan received 1,450 standard prior authorization requests and denied 9.4% of them. The median for CHIP Managed Care plans of comparable size is 15.6%.

Standard denial rate

9.4%

1,450 standard requests, 136 denied. 50.0% of appealed denials were overturned.

Requests and outcomes

	Total	Approved	Denied	Denial rate
Standard	1,450	1,314	136	9.4%
Expedited	706	630	76	10.8%

Appeals of standard denials

Appeals filed	2
Denials overturned	1
Overturn rate	50.0%

Turnaround

	Mean	Median
Standard	2.6 d	0.3 d
Expedited	30.0 h	24.0 h

Kaiser Foundation Health Plan of Washington	6.1%
Kaiser Permanente Northern California	10.5%
Kaiser Permanente Southern California	19.5%
Kaiser Foundation Health Plan of the Mid-Atlantic States	5.5%
Kaiser Foundation Health Plan of Colorado	9.6%
Kaiser Foundation Health Plan of the Northwest	12.6%
Kaiser Permanente Southern California - Medi-Cal	6.4%
Kaiser Foundation Health Plan of Georgia	3.1%