Frequently Asked Questions

Frequently Asked Questions are used to provide additional information and/or statutory guidance not found in State Medicaid Director Letters, State Health Official Letters, or CMCS Informational Bulletins. The different sets of FAQs as originally released can be accessed below.

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Does the new mandatory EQR network adequacy validation activity have to be performed by the same EQRO that performs the other mandatory activities?

No. Under section 438.356 of the Final Rule, states can contract with one or more EQROs to conduct EQR activities and other related tasks (such as production of the EQR report).

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This FAQ was released as part of a larger set. View the full set. (PDF, 185.26 KB)

FAQ ID:94661

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