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 RY2028 Sampled Claim Review Period: July 1, 2026 to June 30, 2027
  • Timeframe for Medical Records Request Outreach: April 1, 2027 to April 15, 2028
• 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.
  • Medical records request outreach to providers will not be conducted during RY 2027.
  • PERM will exclusively measure eligibility for the RY 2027 cycle. This adjustment is temporary and applies solely to RY 2027.