MedicaidAdministrativeMedium impact
Payment Error Rate Measurement (PERM) Audit
Missouri Medicaid (MO HealthNet)·MO·Reimbursement
Effective date
Nov 20, 2023
We identified it
Jun 20, 2026
Summary
CMS is conducting Payment Error Rate Measurement (PERM) audits for Missouri Medicaid/CHIP claims from state fiscal year 2024. CMS contractors will directly request medical records from providers to verify claims, and providers are federally required to submit these records upon request without needing patient authorization.
Action Required
Immediately: Billing team and medical records staff must prepare to respond to PERM audit requests from CMS contractors for Missouri Medicaid/CHIP claims from state fiscal year 2024. Ensure medical record documentation is complete and accessible for all Medicaid/CHIP services billed. Contact Joyce Chandler at 573-751-7993 or MMAC.PERMAUDITS@DSS.MO.GOV with PERM audit questions. Failure to provide requested records violates federal regulations.