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Medicaid Authorization Data

2025 Medicaid Authorization Data
MeasureResult
Total standard prior authorizations requests received121,587
Total expedited prior authorization requests received5,773
Total standard and expedited prior authorization requests received127,360
Percentage of standard prior authorization requests that were approved79%
Percentage of standard prior authorization requests that were denied21%
Percentage of standard prior authorization requests approved after appeal63%
Average time to decision for standard prior authorizations4.77 Days
Median time to decision on standard prior authorizations2.04 Days
Percentage of expedited prior authorization requests that were approved81%
Percentage of expedited prior authorization requests that were denied19%
Average time to decision for expedited prior authorizations0.87 Days
Median time to decision for expedited prior authorizations0.52 Days
Percentage of total prior authorization requests approved with extended timeframe0.11%
Last Updated: 02/11/2026