Filing · f0434
New York Essential Plan Program
UnitedHealth Group · Medicaid Managed Care · NY · CY2025
In 2025 this plan received 18,664 standard prior authorization requests and denied 16.7% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
16.7%
18,664 standard requests, 3,114 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 18,664 | 15,550 | 3,114 | 16.7% |
| Expedited | 196 | 153 | 43 | 21.9% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 39 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.0 d | 1.3 d |
| Expedited | 0.0 h | 110.4 h |