Filing · f0598
Virginia Cardinal Care LTSS
UnitedHealth Group · Medicaid Managed Care · VA · CY2025
In 2025 this plan received 49,163 standard prior authorization requests and denied 11.1% of them. The median for Medicaid Managed Care plans of comparable size is 12.3%.
Standard denial rate
11.1%
49,163 standard requests, 5,441 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 49,163 | 43,722 | 5,441 | 11.1% |
| Expedited | 811 | 764 | 47 | 5.8% |
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 92 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 4.0 d | 5.3 d |
| Expedited | 24.0 h | 19.2 h |