CMS-10184. Justification for 83-C

OFM: Payment Error Rate Measurement (PERM) Eligibility Form Revisions

Based on comments and questions from the states in our first measurement of the PERM eligibility component, we’ve found it necessary to update two of our OMB approved forms. The changes we are making are for clarity and consistency and we are not requesting new information from the states being measured.

1. Detailed Payment Review Findings

• Clarifying the instructions:

  • States must enter the date a case is dropped due to beneficiary fraud.

  • States must enter a zero in the payment columns if they do not apply.

  • States must not enter payments for cases that were dropped due to beneficiary fraud.

• Revising the chart:

  • Chart has been updated to include a column to enter payments for undetermined payments. Our Final Rule says at 72 FR 50493 that states must report the number of undetermined cases and the payments associated with them. Our previous form neglected to have a place for states to report this information.

2. Summary Findings and Error Rate Tables

   • Revising the Chart

• The chart has been revised for clarity. The row for Totals has been placed at the bottom of the summary chart instead of the top. The columns for Number of Cases Eligible and Number of Cases Ineligible have been changed to Correct and Incorrect.

• Dollar Amount in Error has been added to the Error Rate Table.

• The instructions were reordered to be consistent with the chart.