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PERM Insights & Perspectives

Tools & Downloads

Practical tools and operational frameworks helping Medicaid leaders assess readiness, strengthen controls, document decisions, and reduce PERM-related fiscal exposure.

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GROUP 1 OF 3

Assess Readiness


SNAPSHOT

Assess Your Readiness

PERM Eligibility Risk: Executive Readiness Snapshot

A concise executive view of how eligibility accuracy, audit defensibility and fiscal exposure connect.

INSIDE THIS TOOL

◆ Eligibility accuracy

◆ Audit defensibility

◆ Fiscal exposure

Open Snapshot

MATRIX

Test Pre-Cycle Readiness

PERM Pre-Cycle Readiness Matrix

Test whether policy, systems, operations and stakeholders are ready before a PERM cycle begins.

INSIDE THIS TOOL

Policy & systems ▢ ▢ ▢

Operational readiness ▢ ▢ ▢

Stakeholder readiness ▢ ▢ ▢

Open Matrix

GUIDE

Rehearse Before Federal Selection

Shadow PERM Implementation Guide

Plan an internal rehearsal that samples decisions and surfaces control failures before federal selection.

INSIDE THIS TOOL

1 › Internal sampling

2 › Decision accuracy

3 › Control failures

Open Guide

GROUP 2 OF 3

Strengthen Decision Controls


CHECKLIST

Govern Self-Attestation

Self-Attestation: Executive Control Checklist

Executive controls for governing self-attestation across eligibility accuracy, evidence and fiscal exposure.

INSIDE THIS TOOL

☐ Eligibility accuracy

☐ Evidence & defensibility

☐ Fiscal exposure

Open Checklist

STANDARD

Prove the Eligibility Decision

Eligibility Decision Evidence Standard

Define the minimum audit trail so an eligibility decision can be reconstructed and shown sufficient.

INSIDE THIS TOOL

§1 Minimum audit trail

§2 Decision reconstruction

§3 Evidence sufficiency

View Standard

CHECKLIST

Check the Eligibility Handoff

Community Engagement Eligibility Handoff Control Checklist

Check how eligibility decisions pass between systems so the handoff can be reconstructed and defended.

INSIDE THIS TOOL

☐ Cross-system decisions

☐ Reconstruct the handoff

☐ Defend the determination

Open Checklist

CHECKLIST

Document Medical Frailty Controls

Medical Frailty Exclusion Control & Audit-Readiness Checklist

Document controls for ex parte verification, manual review and notices, and reverification evidence.

INSIDE THIS TOOL

☐ Ex parte verification

☐ Manual review & notices

☐ Reverification & evidence

Open Checklist

TEMPLATE

Make Residual Risk Explicit

Executive PERM Risk-Acceptance Template

A template for recording control changes, compensating controls and the residual-risk decision.

INSIDE THIS TOOL

Control changes ________

Compensating controls ________

Residual-risk decision ________

Open Template

GROUP 3 OF 3

Respond, Recover & Verify


GUIDE

Move a Finding to Resolution

PERM Finding Response Path

A path from factual review through corrective action to verified closure of a PERM finding.

INSIDE THIS TOOL

1 › Factual review

2 › Corrective action

3 › Verified closure

Open Response Guide

CHECKLIST

Reconcile the Federal Share

Medicaid Overpayment Recovery & Federal-Share Reconciliation Checklist

Track recovery status, federal/state allocation and CMS-64 reconciliation for overpayments.

INSIDE THIS TOOL

☐ Recovery status

☐ Federal/state allocation

☐ CMS-64 & reconciliation

Open Recovery Checklist

CHECKLIST

Verify the Correction Works

PERM Corrective Action Effectiveness & Closure Checklist

Assign ownership, test the correction and assess remaining exposure before closing corrective action.

INSIDE THIS TOOL

☐ Assign ownership

☐ Test the correction

☐ Assess remaining exposure

Open Closure Checklist

Each resource page lists the downloads available for that tool. The previews above are summaries of content themes, not excerpts of the files.

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

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