Senior Whole Health of New York - MLTSS
Molina Healthcare · Medicaid Managed Care · NY · CY2025
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%. 3 checks flagged this filing.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 13.0% |
| Expedited | — | — | — | 13.0% |
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 filed | — |
| Denials overturned | — |
| Overturn rate | 16.0% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 3.0 d | 1.0 d |
| Expedited | 79.0 h | 43.0 h |
expedited mean 79.0h exceeds standard mean 3.00d (72h)
no appeal outcome data published
filing publishes percentages without underlying counts; arithmetic cannot be verified