Filing · f0524
Rhode Island Medicaid
UnitedHealth Group · Medicaid Managed Care · RI · CY2025
In 2025 this plan received 29,701 standard prior authorization requests and denied 7.6% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
7.6%
29,701 standard requests, 2,248 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 29,701 | 27,453 | 2,248 | 7.6% |
| Expedited | 2,846 | 2,747 | 99 | 3.5% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 46 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 0.0 d | 1.5 d |
| Expedited | 0.0 h | 9.6 h |