PERM Error Rate Findings and Reports
PERM Error Rate Findings and Reports
Welcome to the PERM reports and reference documents page. This page houses various reports and reference documents associated with the PERM program. This page will contain two cycles of improper payment rates spanning six years. For earlier improper payment rates please refer to the Archive page.
Rolling National Medicaid Improper Payment Rates
Year | PERM Cycles Included | Estimated Improper Payments (in billions) | Overall Rate | FFS Rate | Managed Care Rate | Eligibility Rate |
| 2023 | Cycle 3 - RY 2021 Cycle 1 - RY 2022 Cycle 2 - RY 2023 | $50.33 | 8.58% | 6.90% | 0.00% | 5.95% |
| 2022 | Cycle 2 - RY 2020 Cycle 3 - RY 2021 Cycle 1 - RY 2022 | $80.57 | 15.62% | 10.42% | 0.03% | 11.89% |
| 2021 | Cycle 1 - RY 2019 Cycle 2 - RY 2020 Cycle 3 - RY 2021 | $98.72 | 21.69% | 13.90% | 0.04% | 16.62% |
| 2020 | Cycle 3 – FY 2017 Cycle 1 – RY 2019 Cycle 2 – RY 2020 | $86.49 | 21.36% | 16.84% | 0.06% | 14.94% |
| 2019 | Cycle 2 – FY 2016 Cycle 3 – FY 2017 Cycle 1 – RY 2019 | $57.36 | 14.90% | 16.30% | 0.12% | 8.36% |
- The overall estimate is comprised of the weighted sum of the FFS and managed care components, plus the eligibility component, minus a small adjustment to account for the overlap between the claims and eligibility review functions.
National Rolling CHIP Improper Payment Rates
Year | PERM Cycles Included | Estimated Improper Payments (in billions) | Overall Rate | FFS Rate | Managed Care Rate | Eligibility Rate |
| 2023 | Cycle 3 - RY 2021 Cycle 1 - RY 2022 Cycle 2 - RY 2023 | $2.14 | 12.81% | 7.09% | 0.59% | 10.86% |
| 2022 | Cycle 2 - RY 2020 Cycle 3 - RY 2021 Cycle 1 - RY 2022 | $4.30 | 26.75% | 11.23% | 0.62% | 24.01% |
| 2021 | Cycle 1 - RY 2019 Cycle 2 - RY 2020 Cycle 3 - RY 2021 | $5.37 | 31.84% | 13.67% | 0.48% | 28.71% |
| 2020 | Cycle 3 – FY 2017 Cycle 1 – RY 2019 Cycle 2 – RY 2020 | $4.78 | 27.00% | 14.15% | 0.49% | 23.53% |
| 2019 | Cycle 2 – FY 2016 Cycle 3 – FY 2017 Cycle 1 – RY 2019 | $2.74 | 15.83% | 13.25% | 1.25% | 11.78% |
- The overall estimate is comprised of the weighted sum of the FFS and managed care components, plus the eligibility component, minus a small adjustment to account for the overlap between the claims and eligibility review functions.
Downloads
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2023 Medicaid & CHIP Supplemental Improper Payment Data (PDF) -
2023 PERM Medicaid Improper Payment Rates (PDF) -
2023 PERM CHIP Improper Payment Rates (PDF) -
2022 Medicaid & CHIP Supplemental Improper Payment Data (PDF) -
PERM Error Rate Calculation Presentation (PDF) -
2022 PERM Medicaid Improper Payment Rates (PDF) -
2022 PERM CHIP Improper Payment Rates (PDF) -
2021 Medicaid & CHIP Supplemental Improper Payment Data (PDF) -
2021 PERM Medicaid Improper Payment Rates (PDF) -
2021 PERM CHIP Improper Payment Rates (PDF) -
2020 Medicaid & CHIP Supplemental Improper Payment Data (PDF) -
2020 PERM Medicaid Improper Payment Rates (PDF) -
2020 PERM CHIP Improper Payment Rates (PDF) -
2019 Medicaid & CHIP Supplemental Improper Payment Data (PDF) -
2019 PERM Medicaid Improper Payment Rates (PDF) -
2019 PERM CHIP Improper Payment Rates (PDF)
Page Last Modified:
09/12/2024 09:43 AM