Filing · f0296

Kaiser Permanente Hawaii - Medicaid

Kaiser Permanente · Medicaid Managed Care · HI · CY2025

In 2025 this plan received 10,185 standard prior authorization requests and denied 2.6% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.

Standard denial rate

2.6%

10,185 standard requests, 261 denied. 0.0% of appealed denials were overturned.

Requests and outcomes

	Total	Approved	Denied	Denial rate
Standard	10,185	9,924	261	2.6%
Expedited	813	811	2	0.3%
Extended review, approved	0

Appeals of standard denials

Appeals filed	1
Denials overturned	0
Overturn rate	0.0%

Turnaround

	Mean	Median
Standard	1.8 d	0.2 d
Expedited	7.0 h	1.0 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%