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Medical frailty

Medical-frailty verification, exemptions, data governance, and implementation controls.

All Posts

Medical Frailty Exclusion Control & Audit-Readiness Checklist

Community engagement

+4

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Sep 14, 2026

Medical Frailty Exclusion Control & Audit-Readiness Checklist

Tool | A practical control standard for ex parte verification, evidence sufficiency, manual review, notices, reverification, and audit reconstruction.

Ralph Choate
Ralph Choate
Medical Frailty Is Becoming a Medicaid Data-Engineering Problem

Insights

+4

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Sep 14, 2026

Medical Frailty Is Becoming a Medicaid Data-Engineering Problem

Insight | Why states need governed data, explicit exception paths, and reconstructable decisions before community-engagement operations scale.

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

State implementation

+5

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Sep 13, 2026

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

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

Ralph Choate
Ralph Choate
Medicaid Medical Frailty: The New Community Engagement Control Framework

References

+4

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Sep 8, 2026

Medicaid Medical Frailty: The New Community Engagement Control Framework

Reference | 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.

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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