Filing · f0325

Molina Healthcare of Nebraska - Medicaid

Molina Healthcare · Medicaid Managed Care · NE · 2025

This plan reported a 13.0% 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
13.0%
This filing published percentages without counts. 37.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 13.0%
Expedited 8.0%

This payer also printed its own standard denial rate: 13.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate37.0%

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

Turnaround
MeanMedian
Standard4.0 d4.0 d
Expedited16.0 h17.0 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