Information Collection

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

IC 8551 under ICR 200909-0938-008 · OMB 0938-0786.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0786 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-R-305 External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364	Form and Instruction
CMS-R-305 Attachment B final BBAB Attachment B final BBAB.pdf	Form and Instruction
CMS-R-305 Administering or Validating Surveys Administering or Validating Surveys.pdf	Form and Instruction
CMS-R-305 Attachment C final BBAC Attachment C final BBAC.pdf	Form and Instruction
CMS-R-305 Conducting Focus Studies of Health Care Quality Conducting Focus Studies of Health Care Quality.pdf	Form and Instruction
CMS-R-305 Conducting Performance Improvement Projects Conducting Performance Improvement Projects.pdf	Form and Instruction
CMS-R-305 final Calulating PM final Calulating PM.pdf	Form and Instruction
CMS-R-305 final protocol validating performance improvement projec final protocol validating performance improvement projects.pdf	Form and Instruction
CMS-R-305 Monitoring Medicaid MCOs and PIHPs final BBA Monitoring Medicaid MCOs and PIHPs final BBA.pdf	Form and Instruction
CMS-R-305 Validating Encounter Data Validating Encounter Data.pdf	Form and Instruction
CMS-R-305 Validating Encounter Data Validating Performance Measures.pdf	Form and Instruction

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-R-305	Attachment C final BBAC	Attachment C final BBAC.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	Conducting Focus Studies of Health Care Quality	Conducting Focus Studies of Health Care Quality.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	Conducting Performance Improvement Projects	Conducting Performance Improvement Projects.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	final Calulating PM	final Calulating PM.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	final protocol validating performance improvement projects	final protocol validating performance improvement projects.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	Monitoring Medicaid MCOs and PIHPs final BBA	Monitoring Medicaid MCOs and PIHPs final BBA.pdf	Yes	No	Fillable Fileable
Form and Instruction	CMS-R-305	Validating Encounter Data	Validating Encounter Data.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	Validating Encounter Data	Validating Performance Measures.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	Administering or Validating Surveys	Administering or Validating Surveys.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-305	Attachment B final BBAB	Attachment B final BBAB.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 542

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	14,226	14,226
Annual IC Time Burden (Hours)	648,877	648,877
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.