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.

Executive PERM Risk-Acceptance Template

A two-page governance template for Medicaid leaders documenting material eligibility-control changes, fiscal exposure, compensating controls, and explicit residual-risk decisions.

Aug 27, 2026

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1 min read

PERM Finding Response Path

A two-page operational guide for state Medicaid leaders moving potential PERM findings from rapid factual review through resolution, corrective action, and verified closure.

Aug 27, 2026

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1 min read

Eligibility Decision Evidence Standard

A two-page minimum audit-trail standard for Medicaid leaders strengthening eligibility evidence, decision reconstruction, and audit defensibility.

Aug 27, 2026

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1 min read

Shadow PERM Implementation Guide

A four-page operational framework for state Medicaid leaders using internal eligibility sampling to identify accuracy, audit-defensibility, and control failures before federal selection.

Aug 27, 2026

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1 min read

PERM Pre-Cycle Readiness Matrix

A two-page operational assessment for state Medicaid leaders testing policy, system, operational, and stakeholder readiness before the next PERM cycle.

Aug 26, 2026

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1 min read