Subject: Provider Manual Section 7.4 - Reporting of Incidents, Accidents, and Deaths

Action: Please review guidelines to ensure accuracy and timeliness

Dear Provider,

Magellan has been receiving Incident/Accident/Death Report Forms (IAD's)  that are incomplete (i.e. missing demographic information) or out of timelines. It is imperative that all of the information in the IAD be completed and that the IAD's be submitted within timelines.  The Introduction Section (see 7.41 below) outlines why all of the information on the form must be included. Section 7.4.7 A provides the timelines.

7.4.1 Introduction: Significant events, such as accidents, injuries, allegations of abuse, human rights violations, and deaths require careful examination and review to ensure the protection of behavioral health recipients. Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS), as well as other federal and state agencies, requires the prompt reporting of significant events involving persons receiving services within the public behavioral health system. The reporting of significant events to ADHS/DBHS, such as incidents, accidents, and deaths, serves the following purposes:

• The collection of relevant information facilitates a comprehensive review and investigation when indicated;
• Compliance with notification requirements to the Centers for Medicare and Medicaid Services (CMS), Arizona Health Care Cost Containment System (AHCCCS), the Arizona Center for Disability Law, and ADHS/Office of Behavioral Health Licensure (OBHL) as applicable; and
• The trending and analysis of significant events can identify opportunities for behavioral health system improvements.

7.4.7-A. Reporting incidents, accidents and deaths to the T/RBHA: Behavioral health providers must report any incident, accident or death as defined by this section, of an enrolled behavioral health recipient to the T/RBHA within 48 hours.

Please ensure compliance with these Sections of the Provider Manual.

Thank you for your assistance.