Filing · f0401
Minnesota Senior Care Plus (MSC+)
UCare · Medicaid Managed Care · MN · CY2025
In 2025 this plan received 1,101 standard prior authorization requests and denied 41.9% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
Standard denial rate
41.9%
1,101 standard requests, 461 denied.
26.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 1,101 | 640 | 461 | 41.9% |
| Expedited | 28 | 17 | 11 | 39.3% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 15 |
| Denials overturned | 4 |
| Overturn rate | 26.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 8.0 d | 8.0 d |
| Expedited | 24.0 h | 24.0 h |
What the checks found
warnhigh_denial_rate
41.87% standard denial rate is far above the peer range