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ND Medicaid Program Integrity

Payment Error Rate Measurement (PERM)

The Payment Error Rate Measurement (PERM) review is a federal requirement and North Dakota is on a rotation cycle to be reviewed once every three (3) years. North Dakota is currently in the PERM review period for Medicaid and the Children's Health Insurance Program (CHIP) claims payment and eligbility determination. Providers will receive medical records requests from the Review Contractor, A+ Government Solutions. A period of 75 days are given to submit the requested documentation; this is a change from the 60 days which was required during the last PERM cycle. If no documentation is submitted, or if the submitted documentation is not complete, the claim(s) will be considered an error and subject to recoupment.

Sample of the Initial Request for Records letter (A+ Government Solutions):
http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/PERM/Downloads/I_R_L.pdf

General PERM information (Centers for Medicare and Medicaid Services):
http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/PERM/index.html

Questions may be directed to:

Larry Stockham
ND Department of Human Services
Program Integrity Audit Coordinator
Phone: (701) 328-4831
Fax: (701) 328-1544
Email: lstockham@nd.gov

 

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