Filing · f0435
New York Medicaid Advantage
UnitedHealth Group · Medicaid Managed Care · NY · CY2025
In 2025 this plan received 76,049 standard prior authorization requests and denied 22.4% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
22.4%
76,049 standard requests, 17,047 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 76,049 | 59,002 | 17,047 | 22.4% |
| Expedited | 1,807 | 1,619 | 188 | 10.4% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 94 |
| 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 | 24.0 h | 127.2 h |