Organization Detail
Indiana FSSA
1 plan across 1 state · Medicaid FFS
Indiana FSSA reported prior authorization metrics for 1 Medicaid FFS plan across 1 state under CMS rule CMS-0057-F for calendar year 2025. Across those plans, Indiana FSSA processed 204,568 standard prior authorization requests. The average standard prior authorization denial rate was 5.1%, below the national average of 11.8%. When patients or providers appealed denied prior authorizations, 27.8% of appeals were overturned on average. Standard prior authorization decisions took an average of 2.1 days.
5.1%
Indiana FSSA Denial Rate
standard, avg across 1 plans
11.8%
National Average
all reporting plans
-6.7%
vs. National
below average
IN1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Indiana Medicaid FFS (FSSA / Acentra Health)Medicaid FFS | 204,568 | 179,701 | 10,442 | 87.8% | 5.1% | 583 | 27.8% | 72.2% | 19.7% | 80.3% | 2.1 | 2.0 |