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 Reporting Year (RY) 2021 (July 1, 2019 - June 30, 2020). This will be Florida’s fifth time participating in the PERM initiative. (The four previous cycle measurements were in 2008, 2011, 2014, and 2017.) For RY 2021, CMS will measure Medicaid fee-for-service (FFS) claim payments, managed care capitation and premium payments made on behalf of beneficiaries, as well as eligibility determinations made under the Medicaid and CHP programs.
PERM is designed to comply with the Improper Payments Information Act of 2002 (IPIA; Public Law 107-300).
Elizabeth Wade, FCCM
Medical Health Care Program Analyst
Performance Measurement & Quality Review 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.