Filing · f0447
UnitedHealthcare Community Plan - New Jersey FamilyCare
UnitedHealth Group · Medicaid Managed Care · NJ · CY2025
In 2025 this plan received 279,419 standard prior authorization requests and denied 15.5% of them. The median for Medicaid Managed Care plans of comparable size is 13.2%.
Standard denial rate
15.5%
279,419 standard requests, 43,302 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 279,419 | 236,117 | 43,302 | 15.5% |
| Expedited | 15,491 | 14,155 | 1,336 | 8.6% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 273 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 2.2 d |
| Expedited | 0.0 h | 14.4 h |