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Explanatory analysis, timely perspectives, and the complete publication archive.

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Perspectives — timely commentary

Reference Library

Community Engagement Eligibility Handoff Control Checklist

Tools

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Sep 13, 2026

Community Engagement Eligibility Handoff Control Checklist

A practical checklist for testing whether cross-system Medicaid eligibility decisions can be reconstructed and defended.

Ralph Choate
Ralph Choate
When One Medicaid Eligibility Decision Requires Two Systems

Insights

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Sep 13, 2026

When One Medicaid Eligibility Decision Requires Two Systems

When Medicaid eligibility depends on multiple platforms, audit risk moves into the handoff.

Ralph Choate
Ralph Choate
One Federal Rule, Many Medicaid Eligibility Risk Models

Insights

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Sep 13, 2026

One Federal Rule, Many Medicaid Eligibility Risk Models

The same federal requirement will create different audit risks depending on how each state operationalizes eligibility control.

Ralph Choate
Ralph Choate
PERM’s Center of Gravity Is Moving to Eligibility

Insights

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Sep 13, 2026

PERM’s Center of Gravity Is Moving to Eligibility

The 2027 eligibility-only PERM cycle is temporary. The management lesson should not be.

Ralph Choate
Ralph Choate
Medicaid Medical Frailty: The New Community Engagement Control Framework

References

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Sep 8, 2026

Medicaid Medical Frailty: The New Community Engagement Control Framework

An operational reference to CMS guidance on ex parte verification, claims and encounter data, condition-list governance, manual review, annual reverification, and the 2028 self-declaration transition.

Ralph Choate
Ralph Choate
Section 71109 Medicaid Implementation: Where Eligibility Ends and Federal Claiming Begins

References

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Sep 8, 2026

Section 71109 Medicaid Implementation: Where Eligibility Ends and Federal Claiming Begins

A control reference for the October 1 transition covering redeterminations, noncitizen eligibility, SSI/SSA dependencies, state-only coverage, emergency Medicaid, systems changes, and FFP claiming.

Ralph Choate
Ralph Choate
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PERM Insights & Perspectives

Independent research and practical analysis of Medicaid eligibility accuracy, operational accountability, and fiscal exposure.

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