CMS has published a final rule that modifies PERM and MEQC regulations to align with changes to how states adjudicate Medicaid and CHIP eligibility under the Affordable Care Act (ACA). According to CMS, the policy revisions are intended to "reduce state burden, improve program integrity, and promote state accountability." Among other things, the rule changes the eligibility measurement component of the PERM program with regard to review periods, payment sample sizes, and state corrective actions. It also restructures the MEQC program to complement the PERM program and provide states with additional flexibility. The rule is effective August 4, 2017.
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