PERM Insights & Perspectives

Perspectives

Timely commentary on emerging Medicaid policy, federal guidance, operational implications, and developments affecting state programs.

Minnesota’s Medicaid Evidence Test

Federal claims. Defensible decisions. Proof that corrections work.

Oct 9, 2026

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3 min read

The First H.R. 1 Medicaid Fiscal-Control Test Arrived October 1—Before the Work Requirements Do

October 1 showed why Medicaid eligibility accuracy must survive verification, notice, system, and federal-claiming processes.

Oct 8, 2026

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10 min read

Before 2027: What Recent State Medicaid Control Failures Are Warning Us About

A practical readiness test—and a companion checklist—for proving Medicaid corrective actions work.

Oct 1, 2026

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1 min read

Beyond Integration

Building Reliable Eligibility Decisions Through Better Controls

Sep 27, 2026

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1 min read

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?

Sep 20, 2026

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5 min read