(Private Sector) 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: 216824

Documents and Forms

Document Name Document Type
01. IntroductionToProtocols.pdf Instruction
02. P1Compliance_Review.pdf Instruction
03. P1AttachA_ComplianceReviewWrk.pdf Instruction
04. P1AttachB_ComplianceDefinitions.pdf Instruction
05. P1AttachC_SampleSiteVisitAgenda.pdf Instruction
06. P1AttachD_Compliance_Inter.pdf Instruction
07. P2Validation_of_Measures.pdf Instruction
08. P2AttachA-PM Validation Wksht.pdf Instruction
09. P3PIP_Validation.pdf Instruction
10. P3AttachA-PIPwrksht.pdf Instruction
11. P4Validate_EnounterData.pdf Instruction
12. P4AttachA-EncounterDataTables.pdf Instruction
13. P4AttachB-MedicalRecordReview_wksht.pdf Instruction
14. P5Surveys.pdf Instruction
15. P5AttachA_SurveyValidationWksht.pdf Instruction
16. P6PMValidation.pdf Instruction
17. P6AttachA-PMCalculationTables.pdf Instruction
18. P7PIP_Implementation.pdf Instruction
19. P8FocusedStudies.pdf Instruction
20. App1_Methodology.pdf Instruction
21. App2_SamplingApproaches.pdf Instruction
22. App3_Glossary.pdf Instruction
24. App5_ISAssessment.pdf Instruction
25. App5_AttachA-ISCA.pdf Instruction
26. App5_AttachB-ISReview.pdf Instruction