External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.352, 438.360, 438.362, and 438.364

ICR 200302-0938-007

OMB: 0938-0786

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0786 200302-0938-007
Historical Active 199912-0938-004
HHS/CMS
External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.352, 438.360, 438.362, and 438.364
Revision of a currently approved collection   No
Regular
Approved without change 06/23/2003
Retrieve Notice of Action (NOA) 02/25/2003
This information collection request is approved for a period of three years, consistent with the final EQRO Regulation. CMS will monitor the effectiveness and burden associated with these EQR requirements.
  Inventory as of this Action Requested Previously Approved
06/30/2006 06/30/2006 06/30/2003
14,226 0 11,609
648,877 0 135,110
0 0 0

The results of Medicare reviews, Medicare accreditation surveys, and Medicaid external quality reviews will be used by States in assessing the quality of care provided to Medicaid beneficiaries provided by managed care organizations and to provide information on the quality of the care provided to the general public upon request.

None
None


No

1
IC Title Form No. Form Name
External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.352, 438.360, 438.362, and 438.364 CMS-R-0305

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14,226 11,609 0 2,643 -26 0
Annual Time Burden (Hours) 648,877 135,110 0 518,909 -5,142 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/25/2003


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