Filing · f0327

Molina Healthcare of New York Child Health Plus

Molina Healthcare · CHIP Managed Care · NY · CY2025

This plan reported a 5.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for CHIP Managed Care plans of comparable size is 15.6%. 2 checks flagged this filing.

Standard denial rate
5.0%
This filing published percentages without counts. 60.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 5.0%
Expedited 3.0%

This payer also printed its own standard denial rate: 5.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate60.0%

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

Turnaround
MeanMedian
Standard4.0 d3.0 d
Expedited33.0 h28.0 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