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.
A four-page operational framework for state Medicaid leaders using internal eligibility sampling to identify accuracy, audit-defensibility, and control failures before federal selection.
A two-page operational assessment for state Medicaid leaders testing policy, system, operational, and stakeholder readiness before the next PERM cycle.
