Filing · f0403
Prepaid Medical Assistance Program (PMAP)
UCare · Medicaid Managed Care · MN · CY2025
In 2025 this plan received 30,736 standard prior authorization requests and denied 47.8% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%. One check flagged this filing.
Standard denial rate
47.8%
30,736 standard requests, 14,693 denied.
13.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 30,736 | 16,043 | 14,693 | 47.8% |
| Expedited | 469 | 356 | 113 | 24.1% |
| Extended review, approved | 0 | |||
Appeals of standard denials
| Appeals filed | 850 |
| Denials overturned | 113 |
| Overturn rate | 13.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 6.0 d | 8.0 d |
| Expedited | 24.0 h | 24.0 h |
What the checks found
warnhigh_denial_rate
47.8% standard denial rate is far above the peer range