PERM • Introduction
The Payment Error Rate Measurement (PERM) program, implemented by the U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), is federally mandated under the Improper Payments Information Act of 2002 and measures improper payments in the Medicaid program and the Children’s Health Insurance Program, known in Alaska as Denali KidCare (DKC). Groups of 17 states are measured every three years in standard review cycles. Alaska is part of PERM Cycle 3.
Some of the benefits of the PERM program include identification of program vulnerabilities that result in improper payments, promoting efficient program operations, and helping to ensure medical services are provided to those eligible for the program.
If you have questions about PERM, please call 907.269.0399.
Click here for PERM 2011 Updates & Documents.
PERM 2011 Official Results
Alaska providers did an outstanding job responding to PERM medical records requests during the most recent review period.
Of the 17 states reviewed during federal fiscal year 2011 (October 1, 2010 – September 30, 2011), Alaska’s Medicaid PERM error rate is the 2nd lowest and the CHIP error rate is the 5th lowest.
Medicaid Error Rate:
Alaska = 1.4% (national error rate = 5.8%)
- Claims = 1.4%
- Eligibility = 0.0%
CHIP (Denali KidCare) Error Rate:
Alaska = 5.1% (national error rate = 8.2%)
- Claims = 0.6%
- Eligibility = 4.5%
Each Cycle 3 state, including Alaska, will submit a Corrective Action Plan during February 2013 to address improvements in performance.
Alaska’s next PERM cycle will occur during federal fiscal year 2014 (October 1, 2013 – June 30, 2014).