Supporting Statement Part B

Supporting Statement Part B.docx

State Medicaid Eligibility Quality Control Sampling Plan (CMS-317)

OMB: 0938-0146

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Supporting Statement Part B

Collection of Information Employing Statistical Methods


  1. Collection of Information Employing Statistical Methods

The revised MEQC pilot program does not require a statistically valid sample.

  1. Describe potential respondent universe.

The respondents include all 50 states and the District of Columbia during the off-years between their PERM years.

  1. Describe procedures for collecting information.

States are currently required to submit their MEQC pilot planning documents electronically to a specially designated MEQC mailbox by November 1st following the end of the State's PERM year. States are required to review a combined minimum total of

400 Medicaid and CHIP active cases, with at least 200 of the active cases being Medicaid cases. States have the flexibility to determine the precise distribution of active cases. States must also review 200 Medicaid and 200 CHIP negative cases. The States will identify the active sample size per program and the negative sample size per program in the MEQC pilot planning document.

  1. Describe methods to maximize response rates

States are currently required to submit their MEQC pilot planning documents electronically to a specially designated MEQC mailbox. CMS tracks all state submissions and closely monitors States who appear behind schedule to ensure compliance.

  1. Describe any test of procedures or methods.

To ensure compliance with 42 CFR §431.814 States must be operating under an approved MEQC pilot planning document. CMS reviews all State MEQC pilot planning documents and works directly with States to obtain necessary revisions that will allow the planning documents to be approved.

Basic elements of the MEQC pilot planning document include:

  1. Active case reviews:

    1. Focus of the active case reviews in accordance with

§431.812(b)(3).

    1. Universe development process.

    2. Sample size per program.

    3. Sample selection procedure.

    4. Case review process.

  1. Negative case reviews.

    1. Universe development process.

    2. Sample size per program.

    3. Sample selection procedure.

    4. Case review process.





5. Provide the name and telephone number of individuals consulted on statistical aspects of the design.

The revised MEQC pilot program does not require a statistically valid sample. Therefore, there was no consultation regarding statistical aspects of the pilots.



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AuthorJAMAA HILL
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File Created2021-01-13

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