OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations

OMB 0938-0147 · HHS/CMS.

OMB 0938-0147

The Medicaid Eligibility Quality Control (MEQC) program provides states and the District of Columbia (hereinafter, “states”) a unique opportunity to improve the quality and accuracy of their Medicaid and Children’s Health Insurance Program (CHIP) eligibility determinations. The MEQC program is intended to complement the Payment Error Rate Measurement (PERM) program by ensuring state operations make accurate and timely eligibility determinations so that Medicaid and CHIP services are appropriately provided to eligible individuals.

The latest form for State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations expires 2029-08-31 and is listed under ICR 202602-0938-007.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CMS 319 - Supporting Statement Part A 30df.pdf (document unavailable)Supporting Statement A
Attachment B MEQC case level template 01212021.xlsmSupplementary Document
MEQC updated Phase 1 guidance 081720.pdfSupplementary Document
State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations at 42 CFR 431.800 - 431.865 Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202602-0938-007 Reinstatement without change of a previously approved collection 2026-02-09
202010-0938-008 Reinstatement without change of a previously approved collection 2020-10-13
201609-0938-019 Extension without change of a currently approved collection 2016-09-29 Approved without change
201308-0938-028 Reinstatement without change of a previously approved collection 2013-08-28 Approved without change
200910-0938-016 Revision of a currently approved collection 2009-10-30 Approved with change
200607-0938-008 Extension without change of a currently approved collection 2006-07-12 Approved without change
200210-0938-009 Extension without change of a currently approved collection 2002-10-31 Approved without change
199906-0938-003 Extension without change of a currently approved collection 1999-06-04 Approved without change
199607-0938-007 Revision of a currently approved collection 1996-07-19 Approved without change
199307-0938-004 Reinstatement with change of a previously approved collection 1993-07-26 Approved without change
199004-0938-005 Reinstatement with change of a previously approved collection 1990-04-06 Approved without change
198810-0938-004 Reinstatement with change of a previously approved collection 1988-10-04 Approved without change
198501-0938-013 Revision of a currently approved collection 1985-01-11 Approved without change
198308-0938-008 Extension without change of a currently approved collection 1983-08-25 Approved without change
198201-0938-004 Reinstatement with change of a previously approved collection 1982-01-29 Approved without change
198107-0938-011 No material or nonsubstantive change to a currently approved collection 1981-07-28 Approved with change
198101-0938-007 New collection (Request for a new OMB Control Number) 1981-01-28 Approved without change