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Improper Payment Rate by Component

VISIT THE PILLAR: National Context
DOMAIN: What is the Rate of Improper Payments in Medicaid & CHIP?
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Improper Payment Rate by Component Bar Graph showing for each component whether Fee For Service or Managed Care or Eligibility what percentage pertains to Improper Payment Rate

Improper Payment Rate by Component Bar Graph showing for each component whether Fee For Service or Managed Care or Eligibility what percentage pertains to Improper Payment Rate

Category X-Axis Label Percentage
Fee-for-Service Medicaid 16.8%
Managed Care Medicaid 0.1%
Eligibility Medicaid 14.9%
Fee-for-Service CHIP 14.1%
Managed Care CHIP 0.5%
Eligibility CHIP 23.5%

Source: CMS’s analysis of PERM for 2020.

Notes: All 50 states and the District of Columbia are reflected in the national Medicaid and CHIP improper payment rates.

More information related to the FFY 2020 Medicaid and CHIP improper payment results is published on CMS’s PERM webpage.