View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

External Quality Review of Medicaid MCOs and Supporting Regulations in 42 CFR 438.360, 438.362, and 438.364
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-R-305 Attachment B final BBAB Attachment B final BBAB.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 Administering or Validating Surveys Administering or Validating Surveys.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 Attachment C final BBAC Attachment C final BBAC.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 Conducting Focus Studies of Health Care Quality Conducting Focus Studies of Health Care Quality.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 Conducting Performance Improvement Projects Conducting Performance Improvement Projects.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 final Calulating PM final Calulating PM.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 final protocol validating performance improvement projects final protocol validating performance improvement projects.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 Monitoring Medicaid MCOs and PIHPs final BBA Monitoring Medicaid MCOs and PIHPs final BBA.pdf Yes No Fillable Fileable
Form and Instruction CMS-R-305 Validating Encounter Data Validating Encounter Data.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-R-305 Validating Encounter Data Validating Performance Measures.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

542 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 14,226 0 0 0 0 14,226
Annual IC Time Burden (Hours) 648,877 0 0 0 0 648,877
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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