Molina Healthcare, Inc.

Molina Healthcare, Inc. reported prior authorization metrics for 1 Medicaid MCO plan across 1 state under CMS rule CMS-0057-F for calendar year 2025. The average standard prior authorization denial rate was 4%, below the national average of 11.8%. When patients or providers appealed denied prior authorizations, 65% of appeals were overturned on average. Standard prior authorization decisions took an average of 3 days.