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Start here: Medicaid Payment Error Rate Measurement (PERM)

Education, not Advocacy.

Three current resources, free to read without a website subscription.

1 · Understand the basics

Medicaid Payment Error Rate Measurement: A Primer

What to know before your state legislators call.

Updated October 9, 2026.

Read the primer (PDF)

2 · Apply the framework

PERM Eligibility Risk: From Audit Event to Operational Discipline

Connect eligibility decisions, evidence, and operational accountability.

Updated October 8, 2026.

Read the framework (PDF)

3 · Test the fix

Corrective Action Effectiveness & Closure Checklist

A practical worksheet for testing results and documenting closure.

October 1, 2026 edition.

Open the checklist (PDF)

Additional free reading

PERM Insights & Perspectives — The Corrective-Action Gap: Repair. Test. Prove. A reinforced bridge illustrates proving that corrective actions work.

The PERM Corrective-Action Gap: Fixing the Error Is Not the Same as Proving the Fix Worked

Why corrective actions need evidence of effectiveness—not simply proof that a fix was implemented.

Read the public sample (PDF)

Free to read. No subscription required.

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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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