{
    "meta": {
        "total": 1,
        "page": 1,
        "per_page": 50,
        "pages": 1,
        "sort": "rate",
        "direction": "desc",
        "reporting_year": "CY2025",
        "rule": "CMS-0057-F",
        "note": "Rates are computed from published counts. null means the payer published no value; it never means zero."
    },
    "filings": [
        {
            "filing_id": "f0388",
            "parent_org": "Mississippi Division of Medicaid",
            "plan_name": "Mississippi Medicaid Fee-for-Service",
            "contract_id": null,
            "coverage_type": "Medicaid FFS",
            "state": "MS",
            "reporting_period": "CY2025",
            "std_total": 60252,
            "std_approved": 52480,
            "std_denied": 6119,
            "std_denial_rate": 10.16,
            "std_denial_rate_printed": null,
            "std_appeals_total": 991,
            "std_appeals_overturned": 720,
            "std_appeal_overturn_rate": 72.65,
            "exp_total": 39,
            "exp_approved": 32,
            "exp_denied": 6,
            "exp_denial_rate": 15.38,
            "ext_review_approved": null,
            "std_tat_mean_days": 3.13,
            "std_tat_median_days": 1,
            "exp_tat_mean_hours": 110.26,
            "exp_tat_median_hours": 27,
            "reports_counts": true,
            "quality_flags": "error:std_counts_reconcile; warn:expedited_slower_than_standard",
            "error_count": 1,
            "warn_count": 1,
            "source_url": "https://medicaid.ms.gov/wp-content/uploads/2026/03/FFS-CY2025-Prior-Authorization-Metrics_MS_3.31.26.pdf",
            "source_segment": "states",
            "extraction_note": "Three-way outcome split; 'partially denied' (1,653 standard) is a separate category not folded into denied. Expedited mean TAT 110.26 hours far exceeds the 72-hour standard on a base of 39 requests.",
            "source_sha256": null,
            "service_list_url": null,
            "service_list_items": null,
            "entity_id": "ffs:MS",
            "filing_unit": "ffs_state"
        }
    ]
}