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

OMB 0938-0786

The results of Medicare reviews, Medicare accreditation surveys, and Medicaid external quality reviews will be used by States in assessing the quality of care provided to Medicaid beneficiaries provided by managed care organizations and to provide information on the quality of the care provided to the general public upon request.

The latest form for External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care, EQR Protocols, and Supporting Regulations (CMS-R-305) expires 2022-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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
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
CMS-R-305-Supporting_Statement B_CMS-2439-P-CLEAN.docx Supporting Statement B
CMS-R-305_Supporting_Statement_A_(CMS-2439-P_version 5).docx Supporting Statement A
(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
(Private Sector) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364 Form and Instruction

All Historical Document Collections

202307-0938-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2023-08-31
202208-0938-011 Approved without change	Revision of a currently approved collection	2022-10-25
201910-0938-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-10-30
201909-0938-009 Approved without change	Revision of a currently approved collection	2019-09-20
201611-0938-016 Approved without change	Revision of a currently approved collection	2016-11-25
201506-0938-001 Comment filed on proposed rule and continue	Revision of a currently approved collection	2015-06-01
201504-0938-009 Approved without change	Extension without change of a currently approved collection	2015-04-14
201206-0938-003 Approved without change	Revision of a currently approved collection	2012-06-15
200909-0938-008 Approved without change	Extension without change of a currently approved collection	2009-09-29
200604-0938-006 Approved without change	Extension without change of a currently approved collection	2006-04-21
200302-0938-007 Approved without change	Revision of a currently approved collection	2003-02-25
199912-0938-004 Approved without change	New collection (Request for a new OMB Control Number)	1999-12-21

OMB Details

(State Gov't) External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-R-305

External Quality Review (EQR) Protocols

Fillable Printable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.