The PERM Corrective-Action Gap: Fixing the Error Is Not the Same as Proving the Fix Worked
GAO’s new review of Medicaid eligibility errors raises a larger management question: are states using PERM’s error evidence to prove that corrective actions actually change the result?
A practical control standard for final determinations, recovery status, federal/state allocation, CMS-64 reporting, repayment, reconciliation, and evidence closure.
Finding the Improper Payment Is Only Half the Control
A Medicaid overpayment is not resolved until the final amount, recovery status, federal and state shares, CMS-64 adjustment, and supporting evidence reconcile.
