Filing · f0369
Tufts Health Together Managed Care Organization (MCO)
Point32Health · Medicaid Managed Care · MA · CY2025
In 2025 this plan received 2,058 standard prior authorization requests and denied 7.4% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
7.4%
2,058 standard requests, 152 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 2,058 | 1,906 | 152 | 7.4% |
| Expedited | 229 | 195 | 34 | 14.9% |
This payer also printed its own standard denial rate: 7.4%. The rate above is computed from the published counts, so the two can be compared.
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 1 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.9 d | 3.9 d |
| Expedited | 13.6 h | 4.8 h |