PERM Insights & Perspectives
Research-driven analysis of Medicaid policy, eligibility accuracy, operational risk, program integrity, and federal-state accountability.
An executive framework for Medicaid leaders managing eligibility accuracy, audit defensibility, and fiscal exposure.
Oct 6, 2026
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1 min read
A Medicaid overpayment is not resolved until the final amount, recovery status, federal and state shares, CMS-64 adjustment, and supporting evidence reconcile.
Sep 14, 2026
Why states need governed data, explicit exception paths, and reconstructable decisions before community-engagement operations scale.
When Medicaid eligibility depends on multiple platforms, audit risk moves into the handoff.
Sep 13, 2026
The same federal requirement will create different audit risks depending on how each state operationalizes eligibility control.