October 1 Changes the Federal Matching Rules. Eligibility Systems Have to Be Ready First.
New Medicaid and CHIP federal funding limits for certain noncitizens turn status verification, case evidence, and system logic into immediate fiscal-control issues.
2027 Is a Dual Eligibility-Control Change, Not a Single Work-Requirement Project
Six-month redeterminations and community-engagement verification will arrive on the same operating platform—and states should govern them as one control environment.
A two-page governance template for Medicaid leaders documenting material eligibility-control changes, fiscal exposure, compensating controls, and explicit residual-risk decisions.
A two-page operational guide for state Medicaid leaders moving potential PERM findings from rapid factual review through resolution, corrective action, and verified closure.
