Filing · f0329
Molina Healthcare of Ohio (Medicaid)
Molina Healthcare · Medicaid Managed Care · OH · CY2025
In 2025 this plan received 68,163 standard prior authorization requests and denied 12.8% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
12.8%
68,163 standard requests, 8,744 denied.
21.4% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 68,163 | 59,419 | 8,744 | 12.8% |
| Expedited | 7,439 | 6,658 | 781 | 10.5% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 562 |
| Denials overturned | 120 |
| Overturn rate | 21.4% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 3.0 d |
| Expedited | 24.0 h | 0.0 h |