Molina Healthcare of Texas CHIP Perinate RSA (at or below 185% FPL)
Molina Healthcare · CHIP Managed Care · TX · 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%. 3 checks flagged this filing.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 5.0% |
| Expedited | — | — | — | 8.0% |
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 filed | — |
| Denials overturned | — |
| Overturn rate | 100.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 2.0 d | 1.0 d |
| Expedited | 53.0 h | 37.0 h |
expedited mean 53.0h exceeds standard mean 2.00d (48h)
no appeal outcome data published
filing publishes percentages without underlying counts; arithmetic cannot be verified