PERM Insights & Perspectives

Perspectives

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

October 1 Changes the Federal Matching Rules. Eligibility Systems Have to Be Ready First.

New Medicaid and CHIP federal funding limits for certain noncitizens turn status verification, case evidence, and system logic into immediate fiscal-control issues.

Aug 27, 2026

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5 min read

2027 Is a Dual Eligibility-Control Change, Not a Single Work-Requirement Project

Six-month redeterminations and community-engagement verification will arrive on the same operating platform—and states should govern them as one control environment.

Aug 27, 2026

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5 min read

2027 Is Not the Work-Requirement PERM Test. It May Be the Rehearsal.

CMS will make RY2027 an eligibility-only PERM cycle while states prepare for new Medicaid community-engagement requirements. The timelines do not directly overlap—but the operational lesson does.

Aug 26, 2026

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4 min read