Filing · f0388
Mississippi Medicaid Fee-for-Service
Mississippi Division of Medicaid · Medicaid FFS · MS · CY2025
In 2025 this plan received 60,252 standard prior authorization requests and denied 10.2% of them. The median for Medicaid FFS plans of comparable size is 8.3%. 2 checks flagged this filing.
Standard denial rate
10.2%
60,252 standard requests, 6,119 denied.
72.7% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 60,252 | 52,480 | 6,119 | 10.2% |
| Expedited | 39 | 32 | 6 | 15.4% |
Appeals of standard denials
| Appeals filed | 991 |
| Denials overturned | 720 |
| Overturn rate | 72.7% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 3.1 d | 1.0 d |
| Expedited | 110.3 h | 27.0 h |
What the checks found
errorstd_counts_reconcile
52,480 approved + 6,119 denied = 58,599, but total is 60,252 (1,653 unaccounted, 2.7%)
warnexpedited_slower_than_standard
expedited mean 110.3h exceeds standard mean 3.13d (75h)