OneCare Prior Authorizations			
			
"Standard PA, Approved"			
	Approved	Total PA	% Approved
SRF	12767	13170	96.94%
Grand Total	12767	13170	
			
"Standard PA, Denied"			
	Denied	Total PA	% Denied
SRF	403	13170	3.06%
Grand Total	403	13170	
			
"Standard PA, Approved After Appeal "			
	Approved	Total Appeal	% Approved
SRF	17	44	38.64%
Grand Total	17	44	
			
"PA, Review Extended and Approved"			
	Approved	Total Approval	% Approved
SRF	60	65	92.31%
Grand Total 	60	65	
			
"Expedited PA, Approved"			
	Approved	Total PA	% Approved
SRF	1052	1106	95.12%
Grand Total	1052	1106	
			
"Expedited PA, Denied"			
	Denied	Total PA	% Denied
SRF	54	1106	4.88%
Grand Total	54	1106	
			
"Standard PA, Average TAT (Hours)"			
	Average TAT		
SRF	46:39:20		
			
			
"Standard PA, Median TAT (Hours)"			
	Median TAT		
SRF	45:27:04		
			
			
"Expedited PA, Average TAT (Hours)"			
	Average TAT		
SRF	9:12:43		
			
			
"Expedited PA, Median TAT (Hours)"			
	Median TAT		
SRF	11:14:37		
			
Key:			
PA- prior authorization 			
SRF- members who have a social risk factor			
non- SRF- members who do not have a social risk factors			
Standard PA turn around time- 14 calendar days			
Expediaited PA turn around time- 72 hours			
			
SRF is defined as: (1) receipt of the low-income subsidy or being dually eligible for Medicare and Medicaid (LIS/DE); or (2) having a disability (determined using the variable original reason for entitlement code (OREC) for Medicare using the information from the Social Security Administration and Railroad Retirement Board record systems