Organization Detail
Oklahoma Health Care Authority
1 plan across 1 state · Medicaid FFS
Oklahoma Health Care Authority 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, Oklahoma Health Care Authority processed 549,895 standard prior authorization requests. The average standard prior authorization denial rate was 37.7%, above the national average of 11.8%. Standard prior authorization decisions took an average of 4.8 days.
37.7%
Oklahoma Health Care Authority Denial Rate
standard, avg across 1 plans
11.8%
National Average
all reporting plans
+25.9%
vs. National
above average
OK1 plan
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Oklahoma OHCA Medicaid FFS (CY 2025)Medicaid FFS | 549,895 | 342,382 | 207,512 | 62.3% | 37.7% | — | — | — | — | — | 4.8 | — |