Medicaid program and Children's Health Insurance program (CHIP); revisions to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement programs. Final rule.
This final rule implements provisions from the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) (Pub. L. 111-3) with regard to the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs. This final rule also codifies several procedural aspects of the process for estimating improper payments in Medicaid and the Children's Health Insurance Program (CHIP).
D002648:Child; D002662:Child Health Services / Q000191:economics* / Q000331:legislation & jurisprudence; D003953:Diagnosis-Related Groups; D004608:Eligibility Determination / Q000191:economics* / Q000331:legislation & jurisprudence; D018588:Fee-for-Service Plans; D005607:Fraud / Q000517:prevention & control*; D006801:Humans; D007345:Insurance Claim Review / Q000191:economics* / Q000331:legislation & jurisprudence; D007349:Insurance, Health, Reimbursement / Q000191:economics / Q000331:legislation & jurisprudence; D008329:Managed Care Programs; D008484:Medicaid / Q000191:economics* / Q000331:legislation & jurisprudence; D011786:Quality Control; D013219:State Government; D014481:United States