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Medicaid TAG contact: Kim Wilson
PERM OVERVIEW
The Centers for Medicare & Medicaid Services (CMS) implemented the Payment Error Rate Measurement (PERM) program to measure improper payments in the Medicaid program and the State Children's Health Insurance Program (SCHIP). PERM is designed to comply with the Improper Payments Information Act of 2002 (IPIA; Public Law 107-300). For PERM, CMS is using a national contracting strategy consisting of three contractors to perform statistical calculations, medical records collection, and medical/data processing review of selected State Medicaid and SCHIP fee-for-service (FFS) and managed care claims. In FY 2006, CMS reviewed only fee-for-service Medicaid claims; however, in FY 2007, CMS expanded PERM to include reviews of fee-for-service and managed care claims, as well as beneficiary eligibility, in both the Medicaid and SCHIP programs
PERM Laws and Regulations
Final Rule [PDF, 203KB]
PERM Process
States Selected for PERM [PDF, 16KB]
Statistical Contractor Introduction [PDF, 281KB]
Documentation Contractor Introduction [PDF, 100KB]
Review Contractor Introduction [PDF, 38KB]
Provider Education Letter [PDF, 16KB]
PERM Policy Issues [PDF,176KB]
PERM Cycle Documents
FY2008 Eligibility Review Guidance [PDF, 1.3MB]
PERM Claims Submission
Fee-for-Service Sampling and Claim Submission - Presentation [PDF, 117KB]
Managed Care Sampling and Claim Submission - Presentation [PDF, 111KB]
PERM Difference Resolution
The Difference Resolution Process [PDF, 405KB]
PERM Reports
PERM Pilot Final Report [PDF, 1MB]
