The Office of Management and Budget began review of a draft regulation in April 2016, addressing changes to the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM), two separate programs that require retrospective reviews of Medicaid eligibility programs.
MACPAC and others have found that the rules for MEQC and PERM are overlapping and do not align well with each other. In its June 2013 report to Congress, MACPAC used the overlap between PERM and MEQC as an example of the challenges states face in trying to comply with outdated and redundant federal program integrity requirements. This presentation reviews potential areas that would be covered in a new rule and issues on which MACPAC may wish to comment. The Centers for Medicare & Medicaid Services is expected to release the rule in summer or fall of 2016.