Providers

Providers

Welcome to the Providers page.  This page was developed to help Medicaid and CHIP providers better understand the PERM process and what you may be required to do during a PERM review.  CMS uses a 17 or 18-State rotation cycle for PERM. Each State is reviewed once every three years. The measurement cycles are:

  • Cycle 1 - Arkansas, Connecticut, Delaware, Idaho, Illinois, Kansas, Michigan, Minnesota, Missouri, New Mexico, North Dakota, Ohio, Oklahoma, Pennsylvania, Virginia, Wisconsin, Wyoming.
    • PERM Cycle RY2025 Sampled Claim Review Period: July 1, 2023 to June 30, 2024
    • Timeframe for Medical Records Request Outreach: April 1, 2024 to April 15, 2025
  • Cycle 2 - Alabama, California, Colorado, Georgia, Kentucky, Maryland, Massachusetts, Nebraska, New Hampshire, New Jersey, North Carolina, Rhode Island, South Carolina, Tennessee, Utah, Vermont, West Virginia. 
    • PERM Cycle RY2026 Sampled Claim Review Period: July 1, 2024 to June 30, 2025
    • Timeframe for Medical Records Request Outreach: April 1, 2025 to April 15, 2026
  • Cycle 3 - Alaska, Arizona, District of Columbia, Florida, Hawaii, Indiana, Iowa, Louisiana, Maine, Mississippi, Montana, Nevada, New York, Oregon, Puerto Rico, South Dakota, Texas, Washington. 
    • PERM Cycle RY 2024 Sampled Claim Review Period: July 1, 2022 to June 30, 2023
    • Timeframe for Medical Records Request Outreach: April 1, 2023 to April 15, 2024
Page Last Modified:
05/23/2024 09:23 AM