MedicaidAdministrativeMedium impact
Newsletter Vol. 31, No.20
New Jersey Medicaid·NJ·Reimbursement
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Summary
New Jersey providers must respond to federal PERM (Payment Error Rate Measurement) audits when randomly selected by CMS contractors. Failure to respond within CMS timeframes will result in recovery of previously paid claims by the State of New Jersey.
Action Required
Immediately: All billing and administrative staff must establish procedures to respond promptly to any PERM audit requests from CMS contractors. Review additional PERM information at www.njmmis.com under Headlines section and familiarize team with audit response requirements. Contact Gainwell Technologies Provider Services at 1-800-776-6334 with questions. Failure to respond timely will result in claim payment recovery by the state.