42 C.F.R. § 438.350 State responsibilities.
Title 42 - Public Health
Each State that contracts with MCOs or PIHPs must ensure that— (a) Except as provided in §438.362, a qualified EQRO performs an annual EQR for each contracting MCO or PIHP; (b) The EQRO has sufficient information to use in performing the review; (c) The information used to carry out the review must be obtained from the EQR-related activities described in §438.358. (d) For each EQR-related activity, the information must include the elements described in §438.364(a)(1)(i) through (a)(1)(iv); (e) The information provided to the EQRO in accordance with paragraph (c) of this section is obtained through methods consistent with the protocols established under §438.352; and (f) The results of the reviews are made available as specified in §438.364.
Title 42: Public Health
PART 438—MANAGED CARE
Subpart E—External Quality Review
§ 438.350 State responsibilities.
