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Federal claiming

Federal financial participation, claiming accuracy, coverage transitions, and fiscal controls.

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Minnesota’s Medicaid Evidence Test

Federal claiming

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Oct 9, 2026

Minnesota’s Medicaid Evidence Test

Perspective | Federal claims. Defensible decisions. Proof that corrections work.

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

Federal claiming

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Oct 8, 2026

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

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

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

Federal claiming

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Sep 8, 2026

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

Reference | 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.

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

Federal claiming

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Sep 8, 2026

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

Historical Perspective | Updated October 7, 2026. See the October 8 current version: The First H.R. 1 Medicaid Fiscal-Control Test Arrived October 1.

Ralph Choate
Ralph Choate
PERM Measures Medicaid and CHIP, but H.R. 1 Puts Them on Different Fiscal Paths

Federal claiming

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Aug 27, 2026

PERM Measures Medicaid and CHIP, but H.R. 1 Puts Them on Different Fiscal Paths

Perspective | The same eligibility-control failure can affect both programs, but Medicaid's 3% disallowance threshold and newly constrained good-faith waiver create a different federal recovery regime.

Ralph Choate
Ralph Choate
CMS Section 71109 Eligibility Implementation Resources

Federal claiming

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Aug 27, 2026

CMS Section 71109 Eligibility Implementation Resources

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

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

Federal claiming

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Aug 27, 2026

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

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

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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