Specifications include, but are not limited to: Annual EQR and ATR All CMS-mandated and optional EQR activities as defined under 42 CFR 438.358, in accordance with CMS EQR Protocols: Protocol 1: Validation of PIP Protocol 2: Validation of Performance Measures Protocol 3: Review of Compliance with Medicaid and CHIP Managed Care Regulations Protocol 4: Validation of Network Adequacy Protocol 5: Validation of Encounter Data Reported by MCE Protocol 6: Administration or Validation of Quality-of-Care Surveys Protocol 7: Calculation of Additional Performance Measures Protocol 8: Implementation of Additional PIP Protocol 9: Conducting Additional Focus Studies for Health Care Quality Protocol 10: Assist with Quality Rating of MCE.