Utilization Management Contracts

Florida Payment Error Rate Measurement (PERM)

Florida is one of 17 States in a three-year cycle randomly selected by the Centers for Medicare and Medicaid Services (CMS) for the Payment Error Rate Measurement (PERM) initiative for Federal fiscal year (FFY) 2017 (October 1, 2016 - September 30, 2017). This will be Florida’s fourth time participating in the PERM initiative.  (The three previous cycle measurements were in FFY 2008, FFY 2011, and FFY 2014.) For FFY 2017, CMS will measure Medicaid fee-for-service (FFS) claim payments, managed care capitation and premium payments made on behalf of beneficiaries.  CMS PERM will also continue to conduct its fifth round of the 50-state Medicaid and Children’s Health Insurance Program (CHIP) Eligibility Review Pilot targeted measurements.  (Previous Rounds of the Pilot targeted measurements occurring between FFY 2014-2016).

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