Filing · f0317

Molina Clinical Services, LLC (Mississippi)

Molina Healthcare · Medicaid Managed Care · MS · CY2025

This plan reported a 11.9% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicaid Managed Care plans of comparable size is 13.2%. 2 checks flagged this filing.

Standard denial rate
11.9%
This filing published percentages without counts. 20.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 11.9%
Expedited 9.6%

This payer also printed its own standard denial rate: 11.9%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate20.0%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard2.7 d3.1 d
Expedited14.8 h14.8 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified