Filing · f0421
NJ FamilyCare / Medicaid Fee-for-Service
New Jersey DMAHS · Medicaid FFS · NJ · CY2025
In 2025 this plan received 889,627 standard prior authorization requests and denied 0.3% of them. The median for Medicaid FFS plans of comparable size is 8.3%.
Standard denial rate
0.3%
889,627 standard requests, 2,388 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 889,627 | 883,132 | 2,388 | 0.3% |
| Expedited | 0 | 0 | 0 | — |
| Extended review, approved | 1,266 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 0 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.0 d |
| Expedited | — | — |