Overview

The Improper Payments Information Act (IPIA) of 2002 (amended in 2010 by the Improper Payments Elimination and Recovery Act or IPERA) requires the heads of Federal agencies to annually review programs they administer and identify those that may be susceptible to significant improper payments, to estimate the amount of improper payments, to submit those estimates to Congress, and to submit a report on actions the agency is taking to reduce the improper payments.  The Office of Management and Budget (OMB) has identified Medicaid and the Children's Health Insurance Program (CHIP) as programs at risk for significant improper payments.  As a result, CMS developed the Payment Error Rate Measurement (PERM) program to comply with the IPIA and related guidance issued by OMB.

 The PERM program measures improper payments in Medicaid and CHIP and produces error rates for each program.  The error rates are based on reviews of the fee-for-service (FFS), managed care, and eligibility components of Medicaid and CHIP in the fiscal year (FY) under review.  It is important to note the error rate is not a "fraud rate" but simply a measurement of payments made that did not meet statutory, regulatory or administrative requirements.  FY 2008 was the first year in which CMS reported error rates for each component of the PERM program.

Downloads
PERM - Medicaid Error Rates [PDF, 169 KB] FY 2008 - FY 2010 Medicaid Improper Payment Findings [PDF, 776 KB] 2011 NAMPI - PERM Update Presentation [PDF, 565 KB] 2011 NAMPI - Supplemental Metrics and Executive Order 13520 [PDF, 75.6 KB] Mini-PERM One Pager (Introduction and Explanation) [PDF, 16.4 KB] Calculating State Error Rates [PDF, 286 KB] PERM Overview [PDF, 382 KB] Corrective Action Planning Overview [PDF, 211 KB] CMS PERM State Contact List [PDF, 208 KB] Overview of Improper Payment Reviews [PDF, 276 KB]
Related Links Inside CMS
CMS Fact Sheets
Related Links Outside CMS
Payment Accuracy Presentations (PERM included) at 2010 NAMPI conference in New Orleans CMS on Twitter

Page Last Modified: 02/07/2012 1:18:47 PM
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