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Payment Error Rate Measurement (PERM)

The measure of the improper payments of Medicaid and CHIP, which results in an error rate for each program. These rates are based on multiple factors; fee-for-service (FFS), managed care and eligibility sections of Medicaid and CHIP in the fiscal year under review.

Medical Underwriting

Determining acceptance of an applicant for health care insurance based on their medical history. It also determines the terms of the coverage including premium cost…