Filing · f0393

Molina Healthcare of Idaho (Medicaid Plus)

Molina Healthcare · Medicaid Managed Care · ID · CY2025

This plan reported a 4.0% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicaid Managed Care plans of comparable size is 12.3%. 2 checks flagged this filing.

Standard denial rate
4.0%
This filing published percentages without counts. 80.0% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard — — — 4.0%
Expedited — — — —

This payer also printed its own standard denial rate: 4.0%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed—
Denials overturned—
Overturn rate80.0%

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

Turnaround
MeanMedian
Standard1.0 d0.0 d
Expedited——
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified