2025 Prior Authorization Metrics
CMS-required data on prior authorizations from 2025
Standard (non-urgent) authorization request approvals
In 2025 we received a total of 418,557 standard (non-urgent) prior authorization requests for our covered patients. 98% of those requests were approved.
The mean (average) time that it took to make standard prior authorization decisions once the request was entered into the Medicaid Management Information System was 1 day.
The median (middle) time that it took to make standard prior authorization decisions once the request was entered into the Medicaid Management Information System was 1 day.
Urgent authorization requests for covered patients in 2025
In 2025 we received a total of 104,477 expedited (urgent) prior authorization requests for our covered patients. 99% of those requests were approved,
The mean (average) time that it took to make standard prior authorization decisions once the request was entered into the Medicaid Management Information System was 1 day.
The median (middle) time that it took to make standard prior authorization decisions once the request was entered into the Medicaid Management Information System was 1 day.
All authorizations in 2025
Standard Service Authorization Requests in 2025
|
Total |
Instances |
Total Requests |
Percentage |
|---|---|---|---|
|
Approved |
411,003 |
418,557 |
98.20% |
|
Denied |
7,554 |
418,557 |
1.80% |
Expedited Service Authorization Requests in 2025
|
Total |
Instance |
Total Requests |
Percentages |
|---|---|---|---|
|
Approved |
103,120 |
104,421 |
98.75% |
|
Denied |
1,301 |
104,421 |
1.25% |
Subsets of all authorizations in 2025
Standard Service Authorization Requests in 2025
|
Total |
Instances |
Total Requests |
Percentage |
|---|---|---|---|
|
Approved After Appeal |
13 |
34 |
38.24% |
|
Denied After Appeal |
21 |
34 |
61.76% |
|
Approved Within 7 Days |
405,938 |
410,738 |
98.83% |
|
Denied Within 7 Days |
4,800 |
410,738 |
1.17% |
|
Approved After Extension (21 Days) |
5,052 |
7,785 |
64.89% |
|
Denied After Extension (21 Days) |
2,733 |
7,785 |
35.11% |
Expedited Service Authorization Requests in 2025
|
Total |
Instances |
Total Requests |
Percentage |
|---|---|---|---|
|
Approved After Appeal |
0 |
0 |
0% |
|
Denied After Appeal |
0 |
0 |
0% |
|
Approved Within 7 Days |
102,980 |
104,033 |
98.99% |
|
Denied Within 7 Days |
1,204 |
104,033 |
1.16% |
|
Approved After Extension (21 Days) |
140 |
237 |
59.07% |
|
Denied After Extension (21 Days) |
97 |
237 |
40.93% |
Alaska operates entirely within a single FFS (Fee-For-Service) program. Thus, all the Service Authorizations pertaining to covered Alaskan Medicaid Recipients are reported above.
- Service Authorizations have been aggregated from the following sources:
- Division of Health Care Services (HCS)
- Division of Senior and Disabilities Services (SDS)
- Division of Behavioral Health (DBH)
- Comagine Health*
*The contractor Comagine Health provides service authorizations for some requests under HCS and DBH