PERM Measures Medicaid and CHIP, but H.R. 1 Puts Them on Different Fiscal Paths
The same eligibility-control failure can affect both programs, but Medicaid's 3% disallowance threshold and newly constrained good-faith waiver create a different federal recovery regime.
Primary federal guidance for implementing six-month Medicaid eligibility redeterminations beginning with affected renewals scheduled on or after January 1, 2027.
Primary federal resources for states managing two active PERM timelines: an eligibility-only RY2027 cycle and the RY2028 Cycle 1 sampled-claim review period already underway.
