Filing · f0413
District of Columbia Dual Choice - Medicaid LTSS
UnitedHealth Group · Medicare-Medicaid Plan · DC · CY2025
In 2025 this plan received 11,877 standard prior authorization requests and denied 6.6% of them. The median for Medicare-Medicaid Plan plans of comparable size is 7.0%.
Standard denial rate
6.6%
11,877 standard requests, 788 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 11,877 | 11,089 | 788 | 6.6% |
| Expedited | 2 | 2 | 0 | 0.0% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 3 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.5 d |
| Expedited | 0.0 h | 0.0 h |