Florida is one of 17 States in a three-year cycle randomly selected by the Centers for Medicare and Medicaid Services (CMS) for the Payment Error Rate Measurement (PERM) initiative for Federal fiscal year (FFY) 2017 (October 1, 2016 - September 30, 2017). This will be Florida’s fourth time participating in the PERM initiative. (The three previous cycle measurements were in FFY 2008, FFY 2011, and FFY 2014.) For FFY 2017, CMS will measure Medicaid fee-for-service (FFS) claim payments, managed care capitation and premium payments made on behalf of beneficiaries. CMS PERM will also continue to conduct its fifth round of the 50-state Medicaid and Children’s Health Insurance Program (CHIP) Eligibility Review Pilot targeted measurements. (Previous Rounds of the Pilot targeted measurements occurring between FFY 2014-2016).
PERM is designed to comply with the Improper Payments Information Act of 2002 (IPIA; Public Law 107-300).
Jason Ottinger, MPA
Government Analyst II
Utilization Management Contracts Unit
Division of Medicaid
Note: If you are a Medicaid provider or recipient seeking to report a complaint, the Agency has established a centralized unit to receive and process complaints. There is a complaint form available on the Statewide Medicaid Managed Care (SMMC) website. Press the “Report a Complaint” button on the right side of the page, and complete the complaint form. (Updates about the SMMC program and upcoming events and news can be found here as well.)
Complaints may be submitted anonymously. Additionally, complaints may be submitted directly to Medicaid field offices.