Oklahoma ranks among best in nation for Medicaid eligibility, claims payment accuracy

TULSA, Okla. (KTUL) — The Oklahoma Health Care Authority recently completed a 2022 Payment Error Rate Measurement review with the Centers for Medicare and Medicaid Services.

PERM issues an error rate that measures how accurately state Medicaid programs process claims and determine eligibility.

Oklahoma's 2022 PERM error rate was 1.95%, the second lowest rate in the nation.

OHCA says the nation's average is 15.62%.

“OHCA prioritizes compliance and fiscal responsibility to ensure every dollar we spend goes toward authorized services for eligible members,” said OHCA CEO, Kevin Corbett. “I am proud of the commitment of our team to protecting taxpayer funds while providing members swift access quality care.”

The PERM program uses a 17-state, three-year rotation cycle for measuring improper payments and ineligibility.

Each state is measured once every three years.

Oklahoma is a Cycle 1 state meaning it will be measured again in 2025.