Filing · f0304
Macomb County Community Mental Health
Macomb County Community Mental Health · Medicaid Managed Care · MI · FY2025
In 2025 this plan received 48,403 standard prior authorization requests and denied 4.9% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
Standard denial rate
4.9%
48,403 standard requests.
3.5% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 48,403 | — | — | 4.9% |
| Expedited | — | — | — | — |
This payer also printed its own standard denial rate: 4.9%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | 3.5% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | — | — |
| Expedited | — | — |
What the checks found
infoappeals_not_reported
no appeal outcome data published