(State Gov't) 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

Information Collection (IC) Details

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(State Gov't) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364
 
No Modified
 
Mandatory
 
42 CFR 438.364 42 CFR 438.360 42 CFR 438.362

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 01. IntroductionToProtocols.pdf Yes Yes Fillable Printable
Instruction 02. P1Compliance_Review.pdf Yes Yes Fillable Printable
Instruction 03. P1AttachA_ComplianceReviewWrk.pdf Yes Yes Fillable Printable
Instruction 04. P1AttachB_ComplianceDefinitions.pdf Yes Yes Fillable Printable
Instruction 05. P1AttachC_SampleSiteVisitAgenda.pdf Yes Yes Fillable Printable
Instruction 06. P1AttachD_Compliance_Inter.pdf Yes Yes Fillable Printable
Instruction 07. P2Validation_of_Measures.pdf Yes Yes Fillable Printable
Instruction 08. P2AttachA-PM Validation Wksht.pdf Yes Yes Fillable Printable
Instruction 09. P3PIP_Validation.pdf Yes Yes Fillable Printable
Instruction 10. P3AttachA-PIPwrksht.pdf Yes Yes Fillable Printable
Instruction 11. P4Validate_EnounterData.pdf Yes Yes Fillable Printable
Instruction 12. P4AttachA-EncounterDataTables.pdf Yes Yes Fillable Printable
Instruction 13. P4AttachB-MedicalRecordReview_wksht.pdf Yes Yes Fillable Printable
Instruction 14. P5Surveys.pdf Yes Yes Fillable Printable
Instruction 15. P5AttachA_SurveyValidationWksht.pdf Yes Yes Fillable Printable
Instruction 16. P6PMValidation.pdf Yes Yes Fillable Printable
Instruction 17. P6AttachA-PMCalculationTables.pdf Yes Yes Fillable Printable
Instruction 18. P7PIP_Implementation.pdf Yes Yes Fillable Printable
Instruction 19. P8FocusedStudies.pdf Yes Yes Fillable Printable
Instruction 20. App1_Methodology.pdf Yes Yes Fillable Printable
Instruction 21. App2_SamplingApproaches.pdf Yes Yes Fillable Printable
Instruction 22. App3_Glossary.pdf Yes Yes Fillable Printable
Instruction 23. App4_Acronyms.pdf Yes Yes Fillable Printable
Instruction 24. App5_ISAssessment.pdf Yes Yes Fillable Printable
Instruction 25. App5_AttachA-ISCA.pdf Yes Yes Fillable Printable
Instruction 26. App5_AttachB-ISReview.pdf Yes Yes Fillable Printable

Health Health Care Services

 

40 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 40 0 -36 0 0 76
Annual IC Time Burden (Hours) 227,683 0 -223,605 0 0 451,288
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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