Medicaid Prior Authorization Annual Reporting

SB 2140 Mississippi Prior Authorization Annual Reporting

2024 Calendar Year

Line of Business: Medicaid

 

Prior Authorization Statistics

Percentage

The percentage of STANDARD Prior Authorization requests that were approved, aggregated for all items & services

99.6%

The percentage of STANDARD Prior Authorization requests that were denied, aggregated for all items & services

0.4%

The percentage of Prior Authorization requests that were Approved After an Appeal, aggregated for all items & services

15.5%

The percentage of Prior Authorization requests for which the review timeframe was Extended, and request was Subsequently Approved, aggregated for all items & services

85.7%

The percentage of EXPEDITED Prior Authorization requests that were Approved, aggregated for all items & services

94.8%

The percentage of EXPEDITED Prior Authorization requests that were Denied, aggregated for all items & services

5.2%

 

Timing

Average time that elapsed between submission of STANDARD Prior Authorization and Decision (Measured in DAYS)

0.10

Median time that elapsed between submission of STANDARD Prior Authorization and Decision (Measured in DAYS)

0.05

Average time that elapsed between submission of EXPEDITED Prior Authorization and Decision (Measured in HOURS)

13.8

Median time that elapsed between submission of EXPEDITED Prior Authorization and Decision (Measured in HOURS)

8.4




A list of all health care services, including medications, that are subject to prior authorization can be found on our Prior Authorization Lookup page.