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

External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 (CMS-R-305)

OMB: 0938-0786

IC ID: 8551

Documents and Forms

Document Name Document Type
Introduction to Protocols 051712.pdf Instruction
P1 - Compliance Review 05172012.pdf Instruction
P1 Attachment A - Compliance Review Worksheet 122111edit (3).pdf Instruction
P1 Attachment B - Compliance definitions 122111.pdf - Adobe Acrobat Pro.pdf Instruction
P1 Attachment C - Sample Site Visit Agenda 122111.pdf Instruction
P1Attach D_ Compliance_InterQ 05172012.pdf Instruction
P2 - Validation of Measures 051112.pdf Instruction
P2 Attachment A - PM Validation Worksheet 122111.pdf Instruction
P3 - PIP Validation 051712.pdf Instruction
P3 Attachment A - PIP worksheet 5-22-12.pdf Instruction
P4 - Validate Enounter Data 05-17-2012.pdf Instruction
P4 Attachment A - Encounter Data Tables 122111 (4).pdf Instruction
P4 Attachment B - Medical Record Review Worksheet 122111.pdf Instruction
P5 - Surveys 051712.pdf Instruction
P5 Attachment A - Survey Validation Worksheet 050712.pdf Instruction
P6- PM Validation 011212.pdf Instruction
P6 Attachment A - PM Calculation Tables 122111 (2).pdf Instruction
P7 - PIP Implementation 051012.pdf Instruction
P8 - Focused Studies 011212.pdf Instruction
Appendix I - Methodology 011212.pdf Instruction
Appendix II - Sampling Approaches 122111.pdf Instruction
Appendix III - Glossary 122111.pdf Instruction
Appendix IV - Acronyms 122111.pdf Instruction
Appendix V - IS Assessment 057712 formatted.pdf Instruction
Appendix V Attachment A - ISCA tool 011212 (2).pdf Instruction
Appendix V Attachment B - IS Review 011212.pdf Instruction
5-11-12 Final Edits to EQR Draft Protocols based on Public Comments.docx Protocol Changes IC Document