Filing · f0315

Michigan Medicaid Home and Community Based Services (Aging and Community Services Division, incl. Brain Injury Services and Community Transition Services) - Fee-for-Service

Michigan Department of Health and Human Services · Medicaid FFS · MI · CY2025

In 2025 this plan received 3,371 standard prior authorization requests and denied 5.2% of them. The median for Medicaid FFS plans of comparable size is 7.4%. One check flagged this filing.

Standard denial rate
5.2%
3,371 standard requests, 175 denied.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 3,371 3,165 175 5.2%
Expedited

This payer also printed its own standard denial rate: 5.2%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed0
Denials overturned
Overturn rate
Turnaround
MeanMedian
Standard
Expedited
What the checks found
errorstd_counts_reconcile

3,165 approved + 175 denied = 3,340, but total is 3,371 (31 unaccounted, 0.9%)