PERM Insights & Perspectives

Reference Library

PERM-authored guides to federal materials, policy references, and source presentations.

Reference guides

Each card opens a PERM Insights & Perspectives reference guide. Original source documents are linked within the guides. Dates shown are the guide publication dates. See also Research and Tools.

Medical Frailty Litigation: What States Should Track Before Changing Their Controls

A current-status reference for Medicaid leaders managing medical-frailty implementation while the federal framework remains under legal challenge.

Sep 13, 2026

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1 min read

Medicaid Medical Frailty: The New Community Engagement Control Framework

An operational reference to CMS guidance on ex parte verification, claims and encounter data, condition-list governance, manual review, annual reverification, and the 2028 self-declaration transition.

Sep 8, 2026

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2 min read

Section 71109 Medicaid Implementation: Where Eligibility Ends and Federal Claiming Begins

A control reference for the October 1 transition covering redeterminations, noncitizen eligibility, SSI/SSA dependencies, state-only coverage, emergency Medicaid, systems changes, and FFP claiming.

Sep 8, 2026

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1 min read

CMS Medicaid Fraud War Room: First 88 Days

Primary CMS reporting on an emerging federal-state Medicaid program-integrity model using advanced analytics and coordinated enforcement.

Aug 27, 2026

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1 min read

CMS Section 71109 Eligibility Implementation Resources

Primary federal resources for implementing the October 1, 2026 Medicaid and CHIP federal matching changes associated with Section 71109.

Aug 27, 2026

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1 min read

CMS Eligibility Redeterminations: Section 71107

Primary federal guidance for implementing six-month Medicaid eligibility redeterminations beginning with affected renewals scheduled on or after January 1, 2027.

Aug 27, 2026

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1 min read

CMS PERM RY2027 and RY2028 Cycle Resources

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.

Aug 27, 2026

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1 min read

CMS Community Engagement Implementation Resources

Primary federal resources governing implementation of Medicaid community-engagement requirements beginning no later than January 1, 2027.

Aug 27, 2026

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1 min read

Source Presentation: Wyoming’s PERM Transformation Through System Modernization

Presented by the Wyoming Department of Health and Acentra Health at MESC 2026, August 19, 2026.

Aug 26, 2026

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1 min read