Information Collection Request
[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 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0786 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 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 | Repair queued |
| 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 | Available |
 CMS-R-305-Supporting_Statement B_(CMS-2439-F version 2).docx |
Supporting Statement B | Uploaded 2024-05-15 | Repair queued |
| CMS-R-305 - Supporting Statement A (CMS-2439-F version 8).docx |
Supporting Statement A | Uploaded 2024-05-15 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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 |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0786 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202208-0938-011 |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |