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Corrective action

Correction effectiveness, control testing, closure evidence, and recurrence prevention.

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

Corrective action

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Oct 1, 2026

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

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

Ralph Choate
Ralph Choate
PERM Corrective Action Effectiveness & Closure Checklist

Corrective action

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Oct 1, 2026

PERM Corrective Action Effectiveness & Closure Checklist

Tool | A practical worksheet for documenting corrective-action results and supporting a defensible closure decision.

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

Corrective action

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Sep 20, 2026

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

Perspective | 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?

Ralph Choate
Ralph Choate
Medicaid Overpayment Recovery & Federal-Share Reconciliation Checklist

Federal claiming

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Sep 14, 2026

Medicaid Overpayment Recovery & Federal-Share Reconciliation Checklist

Tool | A practical control standard for final determinations, recovery status, federal/state allocation, CMS-64 reporting, repayment, reconciliation, and evidence closure.

Ralph Choate
Ralph Choate
Finding the Improper Payment Is Only Half the Control

Corrective action

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Sep 14, 2026

Finding the Improper Payment Is Only Half the Control

Insight | A Medicaid overpayment is not resolved until the final amount, recovery status, federal and state shares, CMS-64 adjustment, and supporting evidence reconcile.

Ralph Choate
Ralph Choate
PERM Finding Response Path

Corrective action

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Aug 27, 2026

PERM Finding Response Path

Tool | An operational guide for state Medicaid leaders moving potential PERM findings from rapid factual review through resolution, corrective action, and verified closure.

Ralph Choate
Ralph Choate

PERM Insights & Perspectives

Independent research and practical analysis of Medicaid eligibility accuracy, operational accountability, and fiscal exposure.

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