---
kind: "section"
citation: "42 C.F.R. § 457.1250"
title: "42"
number: "457.1250"
heading: "External quality review."
url: "https://uscodex.org/cfr/42/457.1250"
---

# §457.1250. External quality review.

- (a) Each State that contracts with MCOs, PIHPs, or PAHPs must follow all applicable external quality review requirements as set forth in [§§ 438.350](/cfr/42/438.350.md) (except for references to [§ 438.362](/cfr/42/438.362.md)), 438.352, 438.354, 438.356, 438.358 (except for references to [§ 438.6](/cfr/42/438.6.md)), 438.360 (only for nonduplication of EQR activities with private accreditation) and 438.364 of this chapter.
- (b) A State may amend an existing EQRO contract to include the performance of EQR-related activities and/or EQR in accordance with [paragraph (a)](#a) of this section.

## Notes

### Amendments

[81 FR 27897, May 6, 2016, as amended at 82 FR 40, Jan. 3, 2017; 89 FR 41285, May 10, 2024]

### Source

Source: 81 FR 27897, May 6, 2016, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 65 FR 33622, May 24, 2000, unless otherwise noted.

### Amendments

[81 FR 27897, May 6, 2016, as amended at 82 FR 40, Jan. 3, 2017; 89 FR 41285, May 10, 2024]