[Medicaid] External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations (CMS-R-305)

ICR 202404-0938-013

OMB: 0938-0786

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-R-305 (State Gov't) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 Form and Instruction	Modified
Form CMS-R-305 (Private Sector) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 Form and Instruction	Modified
CMS-R-305-Supporting_Statement B_(CMS-2439-F version 2).docx Supporting Statement B	2024-05-15
CMS-R-305 - Supporting Statement A (CMS-2439-F version 8).docx Supporting Statement A	2024-05-15

IC Document Collections

IC ID	Document Title	Status
8551	(State Gov't) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 Form and Instruction	Modified
216824	(Private Sector) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 Form and Instruction	Modified