{
    "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": "f0315",
            "parent_org": "Michigan Department of Health and Human Services",
            "plan_name": "Michigan Medicaid Home and Community Based Services (Aging and Community Services Division, incl. Brain Injury Services and Community Transition Services) - Fee-for-Service",
            "contract_id": null,
            "coverage_type": "Medicaid FFS",
            "state": "MI",
            "reporting_period": "CY2025",
            "std_total": 3371,
            "std_approved": 3165,
            "std_denied": 175,
            "std_denial_rate": 5.19,
            "std_denial_rate_printed": 5.19,
            "std_appeals_total": 0,
            "std_appeals_overturned": null,
            "std_appeal_overturn_rate": null,
            "exp_total": null,
            "exp_approved": null,
            "exp_denied": null,
            "exp_denial_rate": null,
            "ext_review_approved": null,
            "std_tat_mean_days": null,
            "std_tat_median_days": null,
            "exp_tat_mean_hours": null,
            "exp_tat_median_hours": null,
            "reports_counts": true,
            "quality_flags": "error:std_counts_reconcile",
            "error_count": 1,
            "warn_count": 0,
            "source_url": "https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Medicaid-Provider-Assets/CHAMPS/HCBS-2025-Prior-Authorization-Annual-Report.pdf?rev=870074c81a0c4cb09e5f61c77b72c9c8&hash=7F9B18D0B199E145BE70AFF7F2D04825",
            "source_segment": "w3_midwest",
            "extraction_note": "Document reports one combined total (3,371 requests; 3,165 approved/93.89%; 175 denied/5.19%) and does NOT split standard vs. expedited. The document itself states that standard/expedited breakout 'is a requirement of CMS-0057-F' but 'Fee-for-Service Michigan Medicaid implementation of collection of this data is effective 4/1/2026' -- so CY2025 requests are combined. Recorded the combined counts under std_total/std_approved/std_denied for lack of a better bucket; treat as combined, not standard-only. Turnaround time was 'not actively tracked in 2025' -- left null, not estimated. Appeals row printed 'Number of PA Requests with a Decision Outcome following Appeal: 0' -- recorded as std_appeals_total=0 (a real printed zero, not an absence) but it is unclear whether this denominator counts appeals filed or appeals decided; treat cautiously. Approved (3,165) + denied (175) = 3,340, not 3,371 -- recorded as printed; the shortfall is presumably pending/withdrawn requests not broken out."
        }
    ]
}