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OMB Control No: 0938-0147	ICR Reference No: 202010-0938-008
Status: Historical Active	Previous ICR Reference No: 201609-0938-019
Agency/Subagency: HHS/CMS	Agency Tracking No: CPI - 319
Title: State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/01/2021
	Date Received in OIRA: 10/13/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2024	36 Months From Approved
Responses	646	0	0
Time Burden (Hours)	64,600	0	0
Cost Burden (Dollars)	0	0	0

Abstract: 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.

Authorizing Statute(s): US Code: 42 USC 1396b Name of Law: Payment to States

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 27228	05/07/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 60169	09/24/2020
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations at 42 CFR 431.800 - 431.865

ICR Summary of Burden

	Total Approved	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	646	526	120
Annual Time Burden (Hours)	64,600	63,640	960
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: All 50 States and the District of Columbia will conduct the MEQC pilot during their off-cycle PERM years. At any given point in time, 34 States will be working on the front end or back end of their MEQC pilots. All states will be required to submit their MEQC case level reports and CAPs to CMS in a CMS specified format by August 1 following the end of the MEQC review period. The cumulative burden of conducting MEQC reviews and preparing case level reports and CAPs has been increased (from 1500 hours to 1900 hours, a total of 400 hours/state) from the estimate found in the preamble to the final regulation of July 5, 2017 as published in the Federal Register (82 FR 31158). The increase in burden is based on the actual time period available to states for conducting sampling, performing MEQC case reviews, and developing case level reports and CAPs. This period is substantially longer than the duration of each round of the previous eligibility pilots; and the required caseloads are commensurately larger.

Annual Cost to Federal Government: $291,360

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Jamaa Hill 301 492-4190

View ICR - OIRA Conclusion