Every reportable incident exactly as each state words it. Each is auto-matched to the best-fit Category › Subcategory in your 43-category taxonomy — review and override with the dropdowns. ✓ you = you set it; auto = AI suggestion pending review.
| State | Incident (state's verbatim term) | Required reporting timeline | Levels of care | How to report | Defined in | Canonical Category › Subcategory |
|---|---|---|---|---|---|---|
| AK | accumulated personal funds exceeding $1,500 | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7 AAC 136 | |
| AK | alleged or suspected abuse | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | 7 AAC 72 | |
| AK | alleged or suspected incidents of abuse, neglect, exploitation, or mistreatment | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | written | 7 AAC 72 | |
| AK | emergency transportation | as soon as possible but not later than three working days after the transportation occurred | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7 AAC 136 | |
| AK | missing | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7 AAC 70 | |
| AK | notification of admission of a client from a community mental health center or other after-care agency | within 48 hours | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | 7 AAC 71 | |
| AK | notification of admission of a client from a local community mental health center or other after-care agency | within 48 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7 AAC 70 | |
| AK | recipient discharged for not complying with the treatment program | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 7 AAC 70 | |
| AK | recipient who is deceased | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7 AAC 70 | |
| AK | recipient who is missing | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7 AAC 70 | |
| AK | recipient who is missing or deceased | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7 AAC 70 | |
| AL | acts or alleged acts of abuse and/or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-20 | |
| AL | admission or transfer of a person who is involuntarily committed | Required (timeframe not stated) | CMHC MH_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-9 | |
| AL | Category 'A' deficiency (notification of correction) | within 24 hours of identification | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-3-22 | |
| AL | Category 'B' deficiency (notification of correction) | within 10 days of identification | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-3-22 | |
| AL | Category 'C' deficiency (notification of correction) | within 30 days of identification | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-3-22 | |
| AL | communicable diseases | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-20 | |
| AL | continued restraint or seclusion past the first hour (notification to case responsible licensed independent practitioner) | within 24 hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | death | Required (timeframe not stated) | MH_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-20 | |
| AL | death or injury that occurs while a patient is restrained or in seclusion | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | error in drug shipment | immediately | CMHC | — | Ala. Admin. Code r. 580-2-17 | |
| AL | fire alarm system out of service | when out of service for more than 4 hours in a 24 hour period | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-3-22 | |
| AL | incarceration of recipient — emergency contact notification | within twenty-four (24) hours | MH_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-20 | |
| AL | incarceration of recipient on temporary visit status — state hospital notification | within twenty-four (24) hours | MH_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-20 | |
| AL | incident reporting | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-9-44 | |
| AL | injuries | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | injuries and deaths | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | loss of controlled substances (theft or significant loss) | upon discovery | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | loss of controlled substances / theft | upon discovery | CMHC |
(205) 290-7150 |
Ala. Admin. Code r. 580-2-17 | |
| AL | renewal of Joint Commission or Medicare accreditation / other Joint Commission or Medicare action affecting accreditation status | immediately upon receipt | PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | restraint or seclusion episode (notification to family/legal guardian) | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | Sentinel Event | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-9 | |
| AL | Serious Incident/Critical Incident | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-9-44 | |
| AL | special incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-20 | |
| AL | special incidents | verbally and in writing as documented in the recipients file with the time and number called and the letter is sent the next business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ala. Admin. Code r. 580-2-20 | |
| AL | structural fire | within 24 hours of the incident | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | Ala. Admin. Code r. 580-3-22 | |
| AL | structural fire (written follow-up with incident report) | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ala. Admin. Code r. 580-3-22 | |
| AL | transfer of an involuntarily committed individual from the designated mental health facility to another location | Required (timeframe not stated) | CMHC MH_RESIDENTIAL | — | Ala. Admin. Code r. 580-2-9 | |
| AL | use of restraint and seclusion | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AL | use of seclusion and restraint | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | Ala. Admin. Code r. 580-2-9 | |
| AR | 90 percent capacity notification | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 007.25.95-001 - Bureau of Alcohol and Drug Abuse Prevention Policies and Procedures | |
| AR | A beneficiary or employee testing positive for any infectious disease that is the subject of a public health emergency | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | A positive case of a beneficiary or a staff member for any infectious disease that is the subject of a public health emergency | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | A positive case of a client or a staff member for any infectious disease that is the subject of a public health emergency | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | abuse | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | phone | Rule 016.05.17-001 - DDS Alternative Community Services Waiver (DDS ACS) Update #1-17 and Developmental Disabilities Services ACS Waiver | |
| AR | Accident/injury reports | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Adult or child maltreatment of a beneficiary | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Adult or child maltreatment of a client | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | after-hours emergency intervention | within 24 hours | CMHC MH_IOP MH_PHP OUTPATIENT | — | Rule 016.23.10-001 - Certification Manual for Rehabilitation Services for Persons with Mental Illness Provider (RSPMI); and Certification Admendment 2 - Moratorium on New Sites | |
| AR | All Incidents | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Alleged Maltreatment of Children and Adults | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.05.07-005 - Licensing Standards for Center-Based Community Programs | |
| AR | An arrest or conviction of a staff member providing direct care services | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Any act or admission that jeopardizes the health, safety, or quality of life of a beneficiary | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Any act or admission that jeopardizes the health, safety, or quality of life of a client | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | Any act or omission that jeopardizes the health, safety, or quality of life of a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | Any act or omission that jeopardizes the health, safety, or quality of life of a child | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | Any condition or event that prevents the delivery of DHHS services for more than 2 hours | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Any condition or event that prevents the delivery of DHS services for more than 2 hours | Required (timeframe not stated) | OUTPATIENT | — | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | Any event causing a substantial disruption to the delivery of services | with immediacy or no later than 24 hours after the incident occurs | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
501-686-9875 |
Rule 016.23.13-001 - Arkansas Access to Recovery Program Manual | |
| AR | Any event that in the program's opinion is serious enough to warrant a report | with immediacy or no later than 24 hours after the incident occurs | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
501-686-9875 |
Rule 016.23.13-001 - Arkansas Access to Recovery Program Manual | |
| AR | Any event that requires notification of the police, fire department, or coroner | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Any event where a staff member threatens a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Any event where an employee threatens or strikes a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Any event where an employee threatens or strikes a client | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | Any event where an individual threatens or strikes a child | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | Any incident involving property destruction by a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Any incident that a Provider should reasonably know might be of interest to the public or media | within one (1) hour of the event | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | Any incident that a Service Provider should reasonably know might be of interest to the public or the media | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | Any incident that an ADDT should reasonably know might be of interest to the public or the media | within one (1) hour of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Any incident that an EIDT should reasonably know might be of interest to the public or the media | within one (1) hour of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-004 - EIDT-1-20; Rules for DDS EIDT | |
| AR | Any injury to a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Any other event that might have resulted in harm to a beneficiary or could have reasonably endangered the health, safety, or welfare of the beneficiary | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Any situation in which the whereabouts of a beneficiary is unknown for more than two (2) hours (i.e. elopement and/or wandering), or where services are interrupted for more than two (2) hours | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Any situation the whereabouts of a beneficiary are unknown for more than two (2) hours | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | Any situation when the whereabouts of a beneficiary are unknown for more than two (2) hours | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Any situation when the whereabouts of a client are unknown for more than two (2) hours | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | Any unanticipated situation when services to the beneficiary are interrupted for more than two (2) hours | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Any unanticipated situation when services to the client are interrupted for more than two (2) hours | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | Any unscheduled situation where a beneficiary's services are interrupted for more than two (2) hours and the interruption would cause or have the potential to cause death, serious injury, or serious illness to a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | Any use or possession of a non-prescribed medication or an illicit substance by a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Any violation of a beneficiary's rights that jeopardizes the health, safety, or quality of life of the beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | arrest or conviction of a staff member providing direct care services | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-006 - DDS Community and Employment Services (CES) Waiver Certification Standards | ||
| AR | Arrests or convictions | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Behavior Incidents | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Behavioral incidents | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-005 - Licensing Standards for Center-Based Community Programs | |
| AR | Biohazard incidents involving a beneficiary | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Biohazardous accidents | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | child abuse or neglect | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Child maltreatment | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | client dies prior to the due date for the GPRA 6-Month Follow-Up | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.23.13-001 - Arkansas Access to Recovery Program Manual | |
| AR | clinical deterioration or crisis with enhanced risk of danger to self or others | within twenty-four (24) hours | CMHC MH_IOP MH_PHP OUTPATIENT | phone | Rule 016.23.10-001 - Certification Manual for Rehabilitation Services for Persons with Mental Illness Provider (RSPMI); and Certification Admendment 2 - Moratorium on New Sites | |
| AR | Commission of a felony on the program's premises or against/by program personnel, volunteers, or clients | with immediacy or no later than 24 hours after the incident occurs | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
501-686-9875 |
Rule 016.23.13-001 - Arkansas Access to Recovery Program Manual | |
| AR | Communicable disease | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | critical incident | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.17-002 - DHS Behavioral Health Provider Certification Manuals and Forms | |
| AR | critical incidents | within twenty-four (24) hours of the incident being documented | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.23.17-002 - DHS Behavioral Health Provider Certification Manuals and Forms | |
| AR | critical incidents involving allegations constituting a sentinel event or resident abuse | immediately via telephone or fax, but not less than twenty-four (24) hours of the incident | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | Rule 016.23.17-002 - DHS Behavioral Health Provider Certification Manuals and Forms | |
| AR | critical incidents requiring medical care by a physician or nurse or follow-up attention | within twenty-four (24) hours of the incident being documented | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | fax | Rule 016.23.17-002 - DHS Behavioral Health Provider Certification Manuals and Forms | |
| AR | critical incidents requiring medical care by a physician or nurse or follow-up attention and incidents requiring hospitalization or immediate off-site medical attention | within twenty-four (24) hours of the incident being documented | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | fax | Rule 016.05.24-003 - Crisis Stabilization Units | |
| AR | Death from adult abuse | within one (1) hour of occurrence, regardless of hour | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
phone
(501) 765-9018 |
Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | Death from child maltreatment | within one (1) hour of occurrence, regardless of hour | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
phone
(501) 765-9018 |
Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | Death of a beneficiary | within one (1) hour of the event | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Death of a child | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | Death of a client | within one (1) hour of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | Death of a client or any individual on program premises | with immediacy or no later than 24 hours after the incident occurs | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
501-686-9875 |
Rule 016.23.13-001 - Arkansas Access to Recovery Program Manual | |
| AR | Death of beneficiary | within one (1) hour of occurrence, regardless of hour | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
email
(501) 765-9018 |
Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | Dosage Reporting Requirements | Required (timeframe not stated) | OUTPATIENT | written | Rule 007.25.00-001 - Licensure Standards for Alcohol and/or Other Drug Abuse Treatment Programs - Revised 7/1/2000 | |
| AR | drowning, other death or serious injury | — | — | — | Rule 007.04.12-001 - Regulations Pertaining to Swimming Pools and Other Related Facilities | |
| AR | Elopement and/or wandering | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | Events involving a risk of death, serious physical or psychological injury, or serious illness to a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Events involving a risk of death, serious physical or psychological injury, or serious illness to a child | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | Events involving a risk of death, serious physical or psychological injury, or serious illness to a client | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | fatalities of overdose | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Hospitalization | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Immediate Reporting incidents | within one (1) hour of occurrence, regardless of hour | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
phone
(501) 765-9018 |
Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | improprieties relative to the delivery of direct services | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | incident | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 007.25.00-001 - Licensure Standards for Alcohol and/or Other Drug Abuse Treatment Programs - Revised 7/1/2000 | |
| AR | incident injury report | Required (timeframe not stated) | OUTPATIENT | — | Rule 016.05.18-002 - Adult Developmental Day Treatment New 18, State Plan Amendment #2018-007 & DDS Standards for Certification and Monitoring for Center-based Community Services | |
| AR | incident involving property destruction by a beneficiary | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-006 - DDS Community and Employment Services (CES) Waiver Certification Standards | ||
| AR | Incident Report | no later than the end of the second business day following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | incident reportable to APS or CPS | immediately | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | phone | Rule 016.05.17-001 - DDS Alternative Community Services Waiver (DDS ACS) Update #1-17 and Developmental Disabilities Services ACS Waiver | |
| AR | incident reporting | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.17-005 - DDS Community and Employment Supports (CES) Waiver and Medicaid Provider Manual #2-17 | |
| AR | Incident Reporting Policy | as soon as possible after the event | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | incident reports | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 007.25.95-001 - Bureau of Alcohol and Drug Abuse Prevention Policies and Procedures | |
| AR | incident reports (restrictive interventions) | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.17-001 - DDS Alternative Community Services Waiver (DDS ACS) Update #1-17 and Developmental Disabilities Services ACS Waiver | |
| AR | incident where restraint or intervention was used | no later than the end of the second business day following the date any restraint or restrictive intervention is administered | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | incident where restraint or restrictive intervention was used | no later than the end of the second business day following the date any restraint or restrictive intervention is administered | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | Incidents | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Incidents involving injury | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | Incidents Involving Potential Publicity | immediately | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
phone
(501) 765-9018 |
Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | incidents requiring hospitalization or immediate off-site medical attention | within twenty-four (24) hours of the incident being documented | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | fax | Rule 016.23.17-002 - DHS Behavioral Health Provider Certification Manuals and Forms | |
| AR | Injury or illness of any active client requiring at least an overnight admission to a hospital | with immediacy or no later than 24 hours after the incident occurs | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
501-686-9875 |
Rule 016.23.13-001 - Arkansas Access to Recovery Program Manual | |
| AR | lost or stolen doses | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Maltreatment of a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | Maltreatment or abuse | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | medication administration error that caused or had the potential to cause serious injury or illness to a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | medication error | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-006 - DDS Community and Employment Services (CES) Waiver Certification Standards | ||
| AR | Medication Errors | Immediately | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Medication Errors and Adverse reactions | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Medication errors made by an employee that cause or have the potential to cause death, serious injury, or serious illness to a beneficiary | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Medication errors made by an Employee that cause or have the potential to cause death, serious injury, or serious illness to a client | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | Medication errors made by staff that cause or have the potential to cause serious injury or illness to a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Medication errors that cause or have the potential to cause death, serious injury, or serious illness to a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | methadone dosage orders in excess of 100 milligrams but less than 120 milligrams | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | methadone dosage orders in excess of 120 milligrams | Required (timeframe not stated) | OUTPATIENT SUD_RESIDENTIAL | written | Rule 007.25.93-001 - Rules and Regulations for Methadone Treatment Program Standards | |
| AR | Methadone take-home medication exceptions | Required (timeframe not stated) | OUTPATIENT | written | Rule 007.25.00-001 - Licensure Standards for Alcohol and/or Other Drug Abuse Treatment Programs - Revised 7/1/2000 | |
| AR | methadone/LAAM dosage orders in excess of 100 milligrams but less than 120 milligrams | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | Rule 007.25.96-002 - Revisions to the Methadone/LAAM Treatment Program Standards and the Licensure Standards Manual for Substance Abuse/Addiction Treatment Programs | |
| AR | methadone/LAAM dosage orders in excess of 120 milligrams | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | written | Rule 007.25.95-005 - Methadone/LAAM Standards for Treatment Programs | |
| AR | misuse or inappropriate use of ATR funds | — | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.13-001 - Arkansas Access to Recovery Program Manual | |
| AR | Motor vehicle accidents involving a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Motor vehicle accidents involving a client | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | names of covered health care practitioners providing RSPMI services | on or before the tenth day of each month | CMHC MH_IOP MH_PHP OUTPATIENT | — | Rule 016.23.10-001 - Certification Manual for Rehabilitation Services for Persons with Mental Illness Provider (RSPMI); and Certification Admendment 2 - Moratorium on New Sites | |
| AR | non-psychiatric medical emergencies | — | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.24-003 - Crisis Stabilization Units | |
| AR | Other health related conditions resulting in a visit to the Emergency Room or hospitalization | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Other health-related conditions resulting in Emergency treatment or hospitalization | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-005 - Licensing Standards for Center-Based Community Programs | |
| AR | Procedures for Incident Reporting | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.05.07-005 - Licensing Standards for Center-Based Community Programs | |
| AR | Programs recommended for closure | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Property destruction | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | record keeping and reporting requirements of the CSAT, HHS, 291.505(d)(13) | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | refusal to serve a beneficiary | immediately | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | reportable incident | within one (1) hour of discovery | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | reportable incidents | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | reports required by the DEA 1304.01 - 1304.38 | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | requests for Methadone take-home medication exceptions | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | Rule 007.25.95-005 - Methadone/LAAM Standards for Treatment Programs | ||
| AR | sentinel event | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.17-002 - DHS Behavioral Health Provider Certification Manuals and Forms | |
| AR | Sentinel events | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-005 - Licensing Standards for Center-Based Community Programs | |
| AR | Sentinel events including All deaths regardless of cause | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | Serious injury | within one (1) hour of occurrence, regardless of hour | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
phone
(501) 765-9018 |
Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | Serious injury to a beneficiary | within one (1) hour of the event | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Serious injury to a child | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | Serious injury to a client | within one (1) hour of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | service gap of thirty (30) consecutive days | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | service gaps of thirty (30) consecutive days | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-001 - DDS Alternative Community Services Waiver (DDS ACS) Update #1-17 and Developmental Disabilities Services ACS Waiver | |
| AR | Suicide | within one (1) hour of occurrence, regardless of hour | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL |
phone
(501) 765-9018 |
Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | Suicide or attempted suicide | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | suspected adult or child abuse, neglect, exploitation, and maltreatment | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | phone | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | suspected infections | — | — | — | Rule 007.04.19-005 - Rules Pertaining to Body Art Establishments | |
| AR | Suspected maltreatment or abuse of a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | The arrest of a beneficiary, or commission of any crime by a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | The use of any restrictive intervention, including seclusion, or physical, chemical, or mechanical restraint on a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-006 - DDS Community and Employment Services (CES) Waiver Certification Standards | ||
| AR | theft and diversion | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.10-003 - Licensure Standards for Alcohol and Other Drug Abuse Treatment Programs | |
| AR | Threatened or attempted suicide by a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | Unauthorized use of restrictive intervention on a child, including seclusion or physical, chemical, or mechanical restraint | — | — | — | Rule 016.05.22-003 - Rules for the Division of Developmental Disabilities Services First Connections Program | |
| AR | Unauthorized use on a beneficiary of restrictive intervention, including seclusion or physical, chemical, or mechanical restraint | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.20-003 - ADDT-1-20; SPA#2020-0020; Rules for DDS ADDT | |
| AR | Unauthorized use on a client of restrictive intervention, including seclusion or physical, chemical, or mechanical restraint | within forty-eight (48) hours of the event | OUTPATIENT |
portal
https://humanservices.arkansas.gov/about-dhs/dpsqa/ |
Rule 016.05.22-005 - ADDT and EIDT Transportation Services | |
| AR | Unexpected occurrences involving actual or risk of death or serious physical or psychological injury to a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | unplanned closing | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Rule 016.23.17-002 - DHS Behavioral Health Provider Certification Manuals and Forms | |
| AR | Use of a restrictive intervention on a beneficiary | within forty-eight (48) hours of the event, or, if later, the next business day | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | Rule 016.05.24-001 - Community and Employment Supports (CES) Agency Standards | |
| AR | Use of any restrictive intervention, including seclusion, or physical, chemical, or mechanical restraint on a beneficiary | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | use of restraint or unauthorized seclusion | no later than the end of the second business day following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | |
| AR | use of restraints or seclusion | no later than the end of the second business day following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-001 - DDS Alternative Community Services Waiver (DDS ACS) Update #1-17 and Developmental Disabilities Services ACS Waiver | |
| AR | use of restrictive interventions | no later than the end of the second business day following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | Rule 016.05.17-001 - DDS Alternative Community Services Waiver (DDS ACS) Update #1-17 and Developmental Disabilities Services ACS Waiver | |
| AR | Use of seclusion or restraint | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | use or possession of a non-prescribed medication or an illicit substance by a beneficiary | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-006 - DDS Community and Employment Services (CES) Waiver Certification Standards | ||
| AR | Use or possession of illicit substances or use or possession of licit substances in an unlawful or inappropriate manner | Required (timeframe not stated) | OUTPATIENT | — | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | Use or possession of licit or illicit substances | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-004 - Certification Standards for ACS Waiver Services | |
| AR | Vehicular accidents | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | Vehicular accidents involving a beneficiary | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-004 - Amendment to the Community and Employment (CES) 1915(c) Waiver; the CES Provider Manual and the CES Certification Standards | ||
| AR | violation of a beneficiary's rights that jeopardizes the health, safety, or quality of life of the beneficiary | within two (2) days following the incident | MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | Rule 016.05.17-006 - DDS Community and Employment Services (CES) Waiver Certification Standards | ||
| AR | Violence or aggression | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Rule 016.05.07-003 - Certification Standards for Early Intervention Services | |
| AR | Winter storm take-home dosing beyond three days | Required (timeframe not stated) | OUTPATIENT | — | Rule 007.25.00-001 - Licensure Standards for Alcohol and/or Other Drug Abuse Treatment Programs - Revised 7/1/2000 | |
| AZ | A client missing | as soon as the client is determined to be missing | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | abusive treatment or neglect of a client (observed) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § R6-6-1601 - Reporting Procedures | |
| AZ | abusive treatment or neglect of a minor client | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § R6-6-1602 - Investigation | |
| AZ | allegations of a client death | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-404 - Persons Responsible for Resolving Grievances and Requests for Investigation | |
| AZ | allegations of mistreatment and denial of rights | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-203 - Protection from Abuse, Neglect, Exploitation, and Mistreatment | |
| AZ | allegations of physical abuse, sexual abuse, or sexual misconduct | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-404 - Persons Responsible for Resolving Grievances and Requests for Investigation | |
| AZ | allegations of sexual and physical abuse | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-203 - Protection from Abuse, Neglect, Exploitation, and Mistreatment | |
| AZ | alleged neglect and abuse | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-809 - Policies and Procedures | |
| AZ | alleged neglect or abuse of a client | immediately | OUTPATIENT | — | § R6-6-1517 - Reporting Obligations of Hcbs Service Providers | |
| AZ | alleged neglect or abuse of a resident | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | phone | § R6-6-803 - General Responsibilities of the Licensee | |
| AZ | alleged physical or sexual abuse of a client | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-409 - Notice and Records | |
| AZ | an incident related to a client that involves law enforcement personnel, emergency services, emergency medical care, the media, or emergency medical techniques | immediately | OUTPATIENT | — | § R6-6-1517 - Reporting Obligations of Hcbs Service Providers | |
| AZ | behavioral issues | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | § R6-6-1007 - Behavior Management | |
| AZ | behavioral issues which may impact the health, safety, or training needs of the client | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1107 - Behavior Management | |
| AZ | client death | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-409 - Notice and Records | |
| AZ | client deaths | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-203 - Protection from Abuse, Neglect, Exploitation, and Mistreatment | |
| AZ | client's need for special assistance | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-305 - Assessments | |
| AZ | community complaints about a client | immediately | OUTPATIENT | — | § R6-6-1517 - Reporting Obligations of Hcbs Service Providers | |
| AZ | community complaints about a resident or the setting | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | phone | § R6-6-803 - General Responsibilities of the Licensee | |
| AZ | criminal charges brought by a client against an employee | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-409 - Notice and Records | |
| AZ | criminal charges brought by an employee against a client | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-409 - Notice and Records | |
| AZ | death of a client | immediately | MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | phone | § R6-6-1517 - Reporting Obligations of Hcbs Service Providers | |
| AZ | Death of the client | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | emergency measure | Immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | written | § R6-6-908 - Emergency Measures | |
| AZ | emergency use of behavior-modifying medication | immediately | MH_RESIDENTIAL PRTF | — | § R6-6-909 - Behavior-modifying Medications | |
| AZ | episode of the use of restraint or seclusion | within 24 hours, or the first working day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | § R9-21-204 - Restraint and Seclusion | |
| AZ | felony relevant to the functioning of the program committed by staff | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | § R9-21-203 - Protection from Abuse, Neglect, Exploitation, and Mistreatment | |
| AZ | grievance or request for investigation filed by or on behalf of a client who needs special assistance | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | § R9-21-405 - Preliminary Disposition | |
| AZ | grievance or request for investigation involving a client in need of special assistance | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-404 - Persons Responsible for Resolving Grievances and Requests for Investigation | |
| AZ | hospitalization, the intervention of a medical practitioner, or emergency medical care in response to a serious illness, injury, medication errors, or suicidal behavior of a client | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | phone | § R6-6-803 - General Responsibilities of the Licensee | |
| AZ | Hospitalizations, the intervention of a medical practitioner, or emergency medical care as a result of serious illness, injury, medication errors, or suicidal behavior | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | Illegal substance use or substance abuse | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | incident involving injury to a client by an employee | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § R6-6-1601 - Reporting Procedures | |
| AZ | incident involving physical defense against a client's aggressive behavior | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § R6-6-1601 - Reporting Procedures | |
| AZ | incident related to a resident that involves law enforcement personnel, emergency services, or the media | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | phone | § R6-6-803 - General Responsibilities of the Licensee | |
| AZ | incident reported to supervisor (supervisor escalation duty) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § R6-6-1601 - Reporting Procedures | |
| AZ | incidents | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-809 - Policies and Procedures | |
| AZ | incidents of abuse, neglect, or exploitation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-203 - Protection from Abuse, Neglect, Exploitation, and Mistreatment | |
| AZ | Incidents which have involved or may potentially involve the police or media | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | indictment or conviction of an employee or client | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-409 - Notice and Records | |
| AZ | infectious diseases | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-809 - Policies and Procedures | |
| AZ | injury to a client which is not clearly due to an accidental cause | within seven days | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | § R6-6-1603 - Medical Evaluation | |
| AZ | intimidation of a client, parent, guardian, or fellow employee to prevent incident reporting | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § R6-6-1601 - Reporting Procedures | |
| AZ | medication error or reaction | Required (timeframe not stated) | MH_RESIDENTIAL SUD_RESIDENTIAL | — | § R6-6-806 - Health | |
| AZ | medication errors and reactions | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-809 - Policies and Procedures | |
| AZ | missing client | as soon as the service provider determines that the client is missing | as soon as it determines that a client is missing | MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | phone | § R6-6-1517 - Reporting Obligations of Hcbs Service Providers | |
| AZ | positive screening results for side effects or Tardive Dyskinesia | within 15 working days | MH_RESIDENTIAL PRTF | — | § R6-6-909 - Behavior-modifying Medications | |
| AZ | Possible abuse or neglect | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | possible abusive treatment or neglect of a client | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § R6-6-1601 - Reporting Procedures | |
| AZ | possible excessive or inappropriate use of emergency measures | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | § R6-6-908 - Emergency Measures | |
| AZ | resident's death | within one working day after the resident's death | SUD_RESIDENTIAL | — | 9 A.A.C. 12 | |
| AZ | Significant damage to client property, licensee property, state property, or the property of others | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | suicide attempts by a client | immediately | MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | phone | § R6-6-1517 - Reporting Obligations of Hcbs Service Providers | |
| AZ | suspected abuse or exploitation of a resident | Immediately | SUD_RESIDENTIAL | — | 9 A.A.C. 12 | |
| AZ | suspected improprieties of a guardian, conservator, trustee, representative payee, or other fiduciary | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | § R9-21-206 - Competency and Consent | |
| AZ | Theft of money or property | Required (timeframe not stated) | MH_RESIDENTIAL | — | § R6-6-1109 - Notification Requirements | |
| AZ | use of any form of restraint or seclusion (monthly written report) | Not later than the tenth day of every month | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | § R9-21-204 - Restraint and Seclusion | |
| AZ | use of restraint or seclusion (quality assurance audit report) | within 24 hours, or the first working day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | § R9-21-204 - Restraint and Seclusion | |
| CA | adolescent resident is not enrolled in or regularly attending school | Required (timeframe not stated) | SUD_RESIDENTIAL | — | § 10623 - Mandatory Reports | |
| CA | adolescent resident is removed from or leaves the facility | Required (timeframe not stated) | SUD_RESIDENTIAL | — | § 10623 - Mandatory Reports | |
| CA | adverse response or reaction by a client to a medication or treatment | promptly | MH_RESIDENTIAL | — | § 785.12 - Nursing Service-General | |
| CA | All cases of communicable disease reportable under Section 2502 of Title 17 | within one (1) working day (telephonic); followed by written report within seven (7) days of the event | SUD_RESIDENTIAL | phone | § 10561 - Reporting Requirements | |
| CA | alleged or suspected violation of the rights of patients | Required (timeframe not stated) | CMHC MH_RESIDENTIAL PSYCH_FACILITY | — | § 857 - Reports of Violations | |
| CA | alleged violation of the code of conduct by a registrant or certified AOD counselor | Within 24 hours of the time an alleged violation becomes known to an AOD program | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § 13065 - Investigation of Complaints, Suspension, and Revocation | |
| CA | Any facility related injury of any resident which requires medical treatment | within one (1) working day (telephonic); followed by written report within seven (7) days of the event | SUD_RESIDENTIAL | phone | § 10561 - Reporting Requirements | |
| CA | Catastrophes such as flooding, tornado, earthquake or any other natural disaster | within one (1) working day (telephonic); followed by written report within seven (7) days of the event | SUD_RESIDENTIAL | phone | § 10561 - Reporting Requirements | |
| CA | child leaves the care and custody of a CTF without permission prior to being discharged | immediately | PRTF | — | § 1925 - Discharge and Release Procedures | |
| CA | child's desire to revoke voluntary consent to treatment | no later than within one working day | PRTF | — | § 1925 - Discharge and Release Procedures | |
| CA | client deaths | by no later than twenty-four (24) hours following a client death | MH_RESIDENTIAL | — | § 784.15 - Unusual Occurrences | |
| CA | complaint concerning non-compliance with program standards | Required (timeframe not stated) | MH_RESIDENTIAL |
phone
916-327-8378 |
§ 1913 - Complaints | |
| CA | Death of any resident from any cause | within one (1) working day (telephonic); followed by written report within seven (7) days of the event | SUD_RESIDENTIAL | phone | § 10561 - Reporting Requirements | |
| CA | discharge due to multiple registration | within 72 hours of the discharge | OUTPATIENT | written | § 10225 - Resolution of Multiple Registration | |
| CA | DUI program unable to provide services to program participants | within seven days | SUD_IOP | § 9838 - Contingency Service Plan | ||
| CA | error in the administration of a medication or treatment to a client which is life threatening and presents a risk to the client | promptly | MH_RESIDENTIAL | — | § 785.12 - Nursing Service-General | |
| CA | fire or explosion | within 24-hours | MH_RESIDENTIAL | — | § 784.15 - Unusual Occurrences | |
| CA | Fires or explosions which occur in or on the premises | within one (1) working day (telephonic); followed by written report within seven (7) days of the event | SUD_RESIDENTIAL | phone | § 10561 - Reporting Requirements | |
| CA | inability to obtain or administer drugs, equipment, supplies or services presenting a risk to the health, safety or security of the client | promptly | MH_RESIDENTIAL | — | § 785.12 - Nursing Service-General | |
| CA | individual ceases involvement in the provision of adolescent services | by the fifteenth (15) day of the current month | SUD_RESIDENTIAL | written | § 10630 - Monitoring of Subsequent Conviction Data | |
| CA | multiple registration | within 72 hours of such determination | OUTPATIENT | phone | § 10225 - Resolution of Multiple Registration | |
| CA | notification of emergency admission | within ten calendar days of the time of presentation for emergency services, or within the timelines specified in the contract | PSYCH_FACILITY | — | § 1820.225 - MHP Payment Authorization for Emergency Admissions by a Point of Authorization | |
| CA | notification to the court of participant dismissal | Required (timeframe not stated) | SUD_IOP | — | § 9886 - Dismissal of Participants | |
| CA | notification to the Department of Motor Vehicles of participant dismissal | Required (timeframe not stated) | SUD_IOP | — | § 9886 - Dismissal of Participants | |
| CA | patient death (all other) | 90 calendar days from the date of the death | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | written | § 10195 - Report of Patient Death | |
| CA | patient death (at program site or medication-related) | One (1) working day from the date the program is notified of the death | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | written | § 10195 - Report of Patient Death | |
| CA | Poisonings | within one (1) working day (telephonic); followed by written report within seven (7) days of the event | SUD_RESIDENTIAL | phone | § 10561 - Reporting Requirements | |
| CA | quarterly reports on convulsive, insulin coma, and prefrontal sonic treatment | Quarterly | MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | § 838 - Quarterly Reports on Convulsive, Insulin Coma, and Prefrontal Sonic Treatment-Application and Requirement | |
| CA | refusal to submit convulsive treatment and insulin coma treatment cases for review | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | § 847 - Post-Treatment Review Committees | |
| CA | reportable communicable diseases | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § 784.16 - Reporting of Communicable Diseases | |
| CA | restraint or seclusion incidents | Quarterly | MH_RESIDENTIAL | written | § 784.38 - Restraint and Seclusion-Documentation and Reporting Policies and Procedures | |
| CA | special incidents | Required (timeframe not stated) | PRTF | — | § 1912 - Required Reporting | |
| CA | sudden marked adverse change in signs, symptoms or behavior exhibited by a client | promptly | MH_RESIDENTIAL | — | § 785.12 - Nursing Service-General | |
| CA | unusual occurrence | within 24-hours | MH_RESIDENTIAL | phone | § 784.10 - Mental Health Rehabilitation Center Director and Staff | |
| CA | unusual occurrence involving a client | Required (timeframe not stated) | MH_RESIDENTIAL | — | § 785.12 - Nursing Service-General | |
| CA | unusual occurrence involving discontinuance or disruption of services | immediately upon the resumption of business hours of the Department | MH_RESIDENTIAL | phone | § 784.10 - Mental Health Rehabilitation Center Director and Staff | |
| CA | unusual occurrences | within 24-hours | MH_RESIDENTIAL | phone | § 784.15 - Unusual Occurrences | |
| CA | violations of subdivision (a)(1) | — | — | — | § 3630.10 - Requirements for a Project-Based Housing Program | |
| CO | allegations of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | breach of confidentiality | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | caretaker neglect of an individual | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | critical incident | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | critical incident – breach of confidentiality | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – caretaker neglect or child abuse/neglect | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – death | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – elopement | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – individual cannot be located | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – malfunction or misuse of care equipment | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – medical emergency | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – medication diversion | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – medication error | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – misappropriation of an individual's property | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – physical, sexual, or verbal abuse | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident – serious injury | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://bha.colorado.gov/for-providers |
2 CCR 502-1 | |
| CO | critical incident and occurrence | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | critical incidents | Required (timeframe not stated) | SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | death | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | elopement | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | emergency affecting the physical space of the BHE that necessitates the removal of individuals and personnel | verbal notice at the time of removal and a written report within fourteen (14) calendar days after the removal | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 2 CCR 502-1 | |
| CO | Failure to appear for admission to treatment | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | Failure to return from passes | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | grievance | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | individual cannot be located | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | Leaving treatment in violation of court orders | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | malfunction or intentional or accidental misuse of care equipment | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | medical emergency | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | medication diversion | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | medication error | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | misappropriation of an individual's property | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | Non-compliance with court orders | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | Non-compliance with program requirements | within three (3) business days | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CO | physical, sexual, or verbal abuse of an individual | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | serious injuries to an individual | within one (1) business day after the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 2 CCR 502-1 | |
| CO | suspected abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 2 CCR 502-1 | |
| CT | all transfers of acquittees | within seven days | PSYCH_FACILITY | written | RCSA 17a-581 | |
| CT | AWOL | immediately | PSYCH_FACILITY | — | RCSA 17a-581 | |
| CT | critical incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | RCSA 17a-453a | |
| CT | critical incident review summary | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | RCSA 17a-453a | |
| CT | involuntary transfer to maximum security setting | by the next working day | PSYCH_FACILITY | written | RCSA 17a-581 | |
| CT | Notification of AWOL | Required (timeframe not stated) | PSYCH_FACILITY | — | RCSA 17a-581 | |
| CT | transfer between hospitals of the same restrictive setting type | within seven days | PSYCH_FACILITY | written | RCSA 17a-581 | |
| CT | unusual incident | Required (timeframe not stated) | PSYCH_FACILITY | written | RCSA 17-227 | |
| CT | unusual incident — death of a guest from whatever cause | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — death of a patient from other than natural causes | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — death of an employee from whatever cause, while on duty | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — escape or elopement of a patient | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — fire, theft or other occurrence causing property damage or loss of $100.00 or more | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — serious injury to a guest | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — serious injury to a patient | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — serious injury to an employee while on duty | Within twenty-four (24) hours of its discovery | PSYCH_FACILITY | phone | RCSA 17-227 | |
| CT | unusual incident — written report | Required (timeframe not stated) | PSYCH_FACILITY | written | RCSA 17-227 | |
| CT | voluntary transfer to maximum security setting | within seven days | PSYCH_FACILITY | written | RCSA 17a-581 | |
| DC | absence of required staff | immediately | MH_RESIDENTIAL | — | 22-A3810 | |
| DC | abuse or neglect of an enrolled adult consumer | immediate | CMHC OUTPATIENT | phone | 22-A3013 | |
| DC | abuse or neglect of an enrolled child consumer | immediate | CMHC OUTPATIENT | phone | 22-A3013 | |
| DC | adult abuse or neglect | immediate | OUTPATIENT | phone | 22-A6512 | |
| DC | adverse or negative action against an employee, volunteer, or household member related to any substantiated crime against a consumer | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | allegation or incident of violation of rights or confidentiality | within twenty-four (24) hours of it coming to the attention of program staff | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A6320 | |
| DC | allegations of ethical violations | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A6312 | |
| DC | alleged ethical violations | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 22-A8011 | |
| DC | any other incident involving the client/consumer that requires a response by emergency service personnel | immediately | OUTPATIENT | 22-A6512 | ||
| DC | changes in its operation that affect the CCP's continued compliance with these certification standards | immediately | CMHC | — | 22-A3502 | |
| DC | changes in its operation that affect the provider's continued compliance with these certification standards | within forty-eight (48) hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | 22-A8002 | |
| DC | child abuse or neglect | immediate | OUTPATIENT | phone | 22-A6512 | |
| DC | confirmed or suspected fraud and abuse | Required (timeframe not stated) | CMHC OUTPATIENT | — | 22-A3011 | |
| DC | confirmed or suspected fraud, waste, or abuse under state or Federal laws or regulations | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A3413 | |
| DC | confirmed violations of the compliance plan | within twenty-four (24) hours of confirmation | CMHC OUTPATIENT | — | 22-A3011 | |
| DC | confirmed violations of the Corporate Compliance Plan | within twenty-four (24) hours of confirmation | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A3413 | |
| DC | consumer deaths related to suicide | Required (timeframe not stated) | CMHC OUTPATIENT | — | 22-A3011 | |
| DC | criminal allegations involving provider staff | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A3401 | |
| DC | criminal allegations involving provider staff or volunteers | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | 22-A8002 | |
| DC | CSA not cooperating in providing required documents | immediately | MH_RESIDENTIAL | — | 22-A3825 | |
| DC | CSA or other provider failure to provide requested medical records or services | Required (timeframe not stated) | MH_RESIDENTIAL | written | 22-A3843 | |
| DC | damage to the FSMHC or to any FSMHC vehicle or equipment that interferes with capability to protect health, safety and welfare | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | death | immediately (but no later than one (1) hour after discovery of the death) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 22-A516 | |
| DC | death of a child or youth consumer | Required (timeframe not stated) | CMHC OUTPATIENT | — | 22-A3011 | |
| DC | death of a child or youth in treatment at the FSMHC | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | death of a consumer or other serious injury that may have reasonably resulted from the use of restraint or seclusion | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 22-A520 | |
| DC | death of a consumer related to suicide | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | death of a person occurring at the FSMHC | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | death of the client/consumer | immediately | OUTPATIENT | 22-A6512 | ||
| DC | denial of admission | within three (3) days | MH_RESIDENTIAL | written | 22-A3825 | |
| DC | emergency caused by a natural disaster, extreme heat or cold, extended power outage, or a similar situation | as soon as possible | MH_RESIDENTIAL | — | 22-A3810 | |
| DC | emergency situation requiring temporary relocation of residents | immediately | MH_RESIDENTIAL | phone | 22-A3861 | |
| DC | excluded practitioner | immediately | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A8024 | |
| DC | grievance | on the day it is filed | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | 22-A306 | |
| DC | imminent health hazard | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 22-A6314 | |
| DC | inability to meet language access needs | immediately | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A8024 | |
| DC | incident requiring a response by emergency service personnel | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | injury to or illness of any client/consumer that requires hospitalization or emergency medical treatment | immediately | OUTPATIENT | 22-A6512 | ||
| DC | injury to or illness of any consumer requiring hospitalization or emergency medical treatment | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | investigation report of any complaint | within twenty-four (24) hours of completing the investigation of any complaint | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 22-A6320 | |
| DC | lack of water or disconnection of service | within four (4) hours if it occurs during a business day, and within twelve (12) hours if it occurs after business hours or on the weekend | MH_RESIDENTIAL | — | 22-A3829 | |
| DC | Major Unusual Incident | immediately | MH_RESIDENTIAL | — | 22-A3810 | |
| DC | major unusual incident (MUI) | immediately | CMHC MH_RESIDENTIAL OUTPATIENT | phone, written | 22-A3013 | |
| DC | Major Unusual Incident (MUI) — follow-up report | within ten (10) days of the incident | MH_RESIDENTIAL | written | 22-A3848 | |
| DC | Major Unusual Incident (MUI) — written unusual incident report | within twenty-four (24) hours of the MUI or on the next business day | MH_RESIDENTIAL | written | 22-A3848 | |
| DC | major unusual incident report | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 22-A516 | |
| DC | major unusual incident report (MUI) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 22-A8015 | |
| DC | Major Unusual Incident Report (severe adverse reaction to a medication) | Required (timeframe not stated) | MH_RESIDENTIAL | written | 22-A3839 | |
| DC | major unusual incidents | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A3011 | |
| DC | medical condition that the resident refuses to treat with no CSA contact established within forty-eight (48) hours | within forty-eight (48) hours | MH_RESIDENTIAL | written | 22-A3840 | |
| DC | medication error or adverse reaction | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A6316 | |
| DC | medication error or adverse reaction to a medication | immediately | MH_RESIDENTIAL | — | 22-A3839 | |
| DC | MUI investigation findings and actions | promptly | MH_RESIDENTIAL | written | 22-A3848 | |
| DC | notify the CSA and/or CBI provider | within twenty four (24) hours of the initial call or deployment | OUTPATIENT | — | 22-A8028 | |
| DC | other reports of allegations of abuse or neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | 22-A304 | |
| DC | outbreak of or a single occurrence of communicable disease | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | person working at the facility or having unsupervised access in violation of § 3850.12 and the Criminal Background Check Act | within forty-eight (48) hours | MH_RESIDENTIAL | — | 22-A3850 | |
| DC | physical examination report not received thirty (30) days prior to renewal date | Required (timeframe not stated) | MH_RESIDENTIAL | written | 22-A3840 | |
| DC | potential or suspected fraud, waste or abuse | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A3413 | |
| DC | practitioner excluded from participation as a Medicaid or Medicare provider | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A3413 | |
| DC | resident death | promptly | MH_RESIDENTIAL | — | 22-A3849 | |
| DC | resident missing for twenty-four (24) hours or more | Required (timeframe not stated) | MH_RESIDENTIAL | — | 22-A3849 | |
| DC | resident moves from the facility | Required (timeframe not stated) | MH_RESIDENTIAL | — | 22-A3849 | |
| DC | resident needs assistance obtaining financial services, social services, health care services, or recreational and leisure activities | Required (timeframe not stated) | MH_RESIDENTIAL | written | 22-A3843 | |
| DC | resident's failure to take prescribed medications for more than forty-eight (48) hours | immediately | MH_RESIDENTIAL | — | 22-A3810 | |
| DC | resident's physical or mental condition changes requiring discharge, transfer, or relocation | promptly | MH_RESIDENTIAL | — | 22-A3861 | |
| DC | significant deficiencies | immediately | MH_RESIDENTIAL | — | 22-A3810 | |
| DC | significant problem or quality of service issue | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A6310 | |
| DC | subsequent action concerning the grievance | within 24 hours of the action's occurrence | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | 22-A306 | |
| DC | suspected fraud, waste, or abuse | promptly | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 22-A6507 | |
| DC | theft, suspected theft, or any significant loss of controlled substances, including spillage | Required (timeframe not stated) | OUTPATIENT | written | 22-A6327 | |
| DC | traffic accident involving a vehicle rented, owned, maintained, or contracted by the FSMHC in which consumers were transported | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | traffic accident involving a vehicle rented, owned, maintained, or contracted by the transition planning provider | immediately | OUTPATIENT | 22-A6512 | ||
| DC | traffic accident or incident involving perceived or actual criminal activity | immediately | CMHC OUTPATIENT | — | 22-A3013 | |
| DC | two (2) or more separate orders for restraints or seclusion within twelve (12) hours of each other | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | 22-A510 | |
| DC | unauthorized departure of a child or youth client/consumer or any circumstances under which a child or youth client/consumer is deemed unaccounted for or missing | immediately | OUTPATIENT | 22-A6512 | ||
| DC | unauthorized departure of an enrolled child or youth consumer or any circumstances under which a child or youth consumer is deemed unaccounted for or missing | immediately | CMHC OUTPATIENT | written | 22-A3013 | |
| DC | unusual incident (UI) | within seven (7) business days of the incident | MH_RESIDENTIAL | written | 22-A3848 | |
| DC | Unusual Incident reports | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | 22-A304 | |
| DC | use of restraints or seclusion for a period of more than twelve (12) hours | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | 22-A510 | |
| DC | use or continuation of restraints or seclusion | within two hours of the initiation or continuation of any restraints or seclusion | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 22-A518 | |
| DC | vacancies | immediately | MH_RESIDENTIAL | — | 22-A3825 | |
| DE | Abuse, neglect, mistreatment or exploitation | within 2 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | allegations of abuse and neglect | Required (timeframe not stated) | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | allegations of abusive techniques or the misuse of physical intervention procedures | Required (timeframe not stated) | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | An epidemic outbreak or illness requiring social distancing | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | Any drug overdose including a drug overdose from illegal drugs | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | confirmation of a reportable disease | Required (timeframe not stated) | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | emergency discharge | prompt notification | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | Entrapment | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | episodes of physical intervention utilization | on the fifth day of each month for the previous month | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | Fire within an IBSER home | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | hazardous or emergency situations | within 24 hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 16 Del. Admin. Code 6001 | |
| DE | immediate threat to life | within 24 hours of the day that the threat to life is discovered | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 16 Del. Admin. Code 6001 | |
| DE | incident of abuse; neglect or mistreatment | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 16 Del. Admin. Code 6001 | |
| DE | Individual elopement | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | medication errors | immediately | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | Medication/treatment error or omission | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | Opioid treatment medication error or adverse drug reaction | promptly | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 16 Del. Admin. Code 6001 | |
| DE | Poisoning | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | reportable disease | Required (timeframe not stated) | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | Reportable Incident | at once | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | reportable incidents | immediately | MH_RESIDENTIAL |
phone
1-877-453-0012 |
16 Del. Admin. Code 3305 | |
| DE | reportable incidents (written investigation report) | within 5 business days of the incident | MH_RESIDENTIAL | written | 16 Del. Admin. Code 3320 | |
| DE | sentinel events | within twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 16 Del. Admin. Code 6001 | |
| DE | significant adverse drug reactions | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 16 Del. Admin. Code 6001 | |
| DE | significant events | within twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 16 Del. Admin. Code 6001 | |
| DE | Significant injuries | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | significant tuberculin test reaction | Required (timeframe not stated) | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | Structural damage or unsafe structural conditions | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | Suicide or attempted suicide | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | suspected drug reactions | immediately | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3305 | |
| DE | suspected occurrence of food poisoning | immediately | MH_RESIDENTIAL | phone | 16 Del. Admin. Code 3305 | |
| DE | Unexpected deaths | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | Utility interruption | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| DE | Water damage that impacts individual health, safety or comfort | within 8 hours of occurrence | MH_RESIDENTIAL | — | 16 Del. Admin. Code 3320 | |
| FL | abuse, neglect, or exploitation | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | phone | Fla. Admin. Code r. 65E-12.106 | |
| FL | Adolescent Arrest | within 24 hours of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Adolescent Death | within 24 hours of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Adolescent-on-Adolescent Sexual Abuse | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Adult Death | within 24 hours of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | apparently recent injuries | Required (timeframe not stated) | PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-20.012 | |
| FL | change in a provider's licensed bed capacity | within 24 hours of the change | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Fla. Admin. Code r. 65D-30.0034 | |
| FL | change in a provider's status regarding accreditation | within two business days of such change | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Fla. Admin. Code r. 65D-30.0034 | |
| FL | Child Arrest | within one (1) business day of the incident occurring | MH_RESIDENTIAL PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-12.106 | |
| FL | Child Death | within one (1) business day of the incident occurring | MH_RESIDENTIAL PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-12.106 | |
| FL | Child-on-Child Sexual Abuse | within one (1) business day of the incident occurring | MH_RESIDENTIAL PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-12.106 | |
| FL | critical incidents | within 24 hours of the incident occurring | within one business day of the occurrence of the incident | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://apps.ahca.myflorida.com/SingleSignOnPortal |
Fla. Admin. Code r. 65D-30.004 | |
| FL | death or significant injury related to seclusion or restraint | in accordance with department operating procedures | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-5.180 | |
| FL | death or significant injury resulting from seclusion or restraint event | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-20.014 | |
| FL | death related to seclusion or restraint (non-CMS facilities) | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | Fla. Admin. Code r. 65E-20.014 | ||
| FL | death while an individual is restrained or secluded | no later than the close of business the next business day following knowledge of the individuals' death | MH_RESIDENTIAL PRTF PSYCH_FACILITY | phone | Fla. Admin. Code r. 65E-20.014 | |
| FL | death while an individual is restrained or secluded (simultaneous report) | no later than the close of business the next business day following knowledge of the individuals' death | MH_RESIDENTIAL PRTF PSYCH_FACILITY | Fla. Admin. Code r. 65E-20.014 | ||
| FL | death while restrained or secluded, within 24 hours after release, or within one week where seclusion/restraint contributed to death | no later than the close of business the next business day following knowledge of the persons' death | PSYCH_FACILITY | phone | Fla. Admin. Code r. 65E-5.180 | |
| FL | death while restrained or secluded, within 24 hours after release, or within one week where seclusion/restraint contributed to death (simultaneous report) | no later than the close of business the next business day following knowledge of the persons' death | PSYCH_FACILITY | written | Fla. Admin. Code r. 65E-5.180 | |
| FL | death within 24 hours after release from seclusion or restraint | no later than the close of business the next business day following knowledge of the individuals' death | MH_RESIDENTIAL PRTF PSYCH_FACILITY | phone | Fla. Admin. Code r. 65E-20.014 | |
| FL | death within 24 hours after release from seclusion or restraint (simultaneous report) | no later than the close of business the next business day following knowledge of the individuals' death | MH_RESIDENTIAL PRTF PSYCH_FACILITY | Fla. Admin. Code r. 65E-20.014 | ||
| FL | death within one week after seclusion or restraint where use contributed to death | no later than the close of business the next business day following knowledge of the individuals' death | MH_RESIDENTIAL PRTF PSYCH_FACILITY | phone | Fla. Admin. Code r. 65E-20.014 | |
| FL | death within one week after seclusion or restraint where use contributed to death (simultaneous report) | no later than the close of business the next business day following knowledge of the individuals' death | MH_RESIDENTIAL PRTF PSYCH_FACILITY | Fla. Admin. Code r. 65E-20.014 | ||
| FL | deaths or significant injuries related to seclusion or restraint | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-20.014 | |
| FL | Elopement | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | emergency status, planning or operations | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | portal | Fla. Admin. Code r. 65E-4.016 | |
| FL | Employee Arrest | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Employee Misconduct | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | evacuation | within six hours of the evacuation order and when the evacuation is complete if the evacuation is not completed within the six hour period | MH_RESIDENTIAL PRTF | — | Fla. Admin. Code r. 65E-9.005 | |
| FL | failure to arrange independent evaluation of competence before moving resident | Required (timeframe not stated) | PSYCH_FACILITY |
portal
https://ahca.myflorida.com/complaint |
Fla. Admin. Code r. 65E-5.270 | |
| FL | incident of obtaining duplicate doses of methadone or other medication | Required (timeframe not stated) | OUTPATIENT SUD_IOP | portal | Fla. Admin. Code r. 65D-30.0142 | |
| FL | incident report | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | Fla. Admin. Code r. 65E-9.006 | |
| FL | incidents that pose risk of serious psychological and physical harm to children being served | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | Fla. Admin. Code r. 65E-9.005 | |
| FL | medication errors | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-12.106 | |
| FL | Missing Adolescent | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Missing Child | within one (1) business day of the incident occurring | MH_RESIDENTIAL PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-12.106 | |
| FL | noncompliance with accrediting standards | within 10 days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Fla. Admin. Code r. 65D-30.003 | |
| FL | notification of use of restraint or seclusion | no later than 24 hours after the initiation of each emergency safety intervention | MH_RESIDENTIAL PRTF | — | Fla. Admin. Code r. 65E-9.013 | |
| FL | Other | within one (1) business day of the incident occurring | MH_RESIDENTIAL PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-12.106 | |
| FL | Other (reportable critical incident) | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Other reportable critical incident — bomb or biological/chemical threat | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-12.106 | |
| FL | Other reportable critical incident — death of an employee or visitor on grounds | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-12.106 | |
| FL | Other reportable critical incident — events leading to or likely to lead to media reports | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-12.106 | |
| FL | Other reportable critical incident — human acts jeopardizing health, safety, or welfare | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-12.106 | |
| FL | Other reportable critical incident — significant injury of a visitor on grounds | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-12.106 | |
| FL | Other reportable critical incident — theft, vandalism, damage, fire, sabotage, or destruction of property | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-12.106 | |
| FL | pending discharge/transfer or termination of an individual | Required (timeframe not stated) | OUTPATIENT | — | Fla. Admin. Code r. 65D-30.012 | |
| FL | person delivered to a receiving facility for an involuntary examination without required initiating documentation | by the method and timeframe required by Section 394.463(2)(b), F.S. | PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-5.280 | |
| FL | reporting information regarding the individual to the criminal or juvenile justice system or other referral source | Required (timeframe not stated) | OUTPATIENT | — | Fla. Admin. Code r. 65D-30.012 | |
| FL | reporting of abuse | Required (timeframe not stated) | PSYCH_FACILITY | phone | Fla. Admin. Code r. 65E-20.003 | |
| FL | Reporting of Abuse, Neglect, and Deaths | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Fla. Admin. Code r. 65D-30.004 | |
| FL | Reporting of communicable diseases | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Fla. Admin. Code r. 65D-30.004 | |
| FL | reports of individual progress | Required (timeframe not stated) | OUTPATIENT | — | Fla. Admin. Code r. 65D-30.012 | |
| FL | required incident reports | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Fla. Admin. Code r. 65D-30.0038 | |
| FL | restraint and seclusion data (quarterly report) | quarterly | MH_RESIDENTIAL PRTF | — | Fla. Admin. Code r. 65E-9.006 | |
| FL | seclusion and restraint event | on a monthly basis | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | Fla. Admin. Code r. 65E-20.014 | |
| FL | seclusion and restraint events | on a monthly basis | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL |
portal
https://samh-prod.dcf.state.fl.us/samh/ |
Fla. Admin. Code r. 65E-12.106 | |
| FL | seclusion or restraint | Required (timeframe not stated) | SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.005 | |
| FL | seclusion or restraint use exceeding 24 hours | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-20.014 | |
| FL | security breaches such as theft and loss (mobile methadone medication-assisted treatment unit) | Required (timeframe not stated) | OUTPATIENT | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Security Incident – Unintentional | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | serious illness, any incident involving serious bodily injury, or any severe psychiatric episode requiring the hospitalization of a child | immediately | MH_RESIDENTIAL PRTF | — | Fla. Admin. Code r. 65E-9.006 | |
| FL | serious occurrence | the same day or no later than close of business the next business day for a serious occurrence that occurs after 5:00 p.m. or over a weekend | MH_RESIDENTIAL PRTF | — | Fla. Admin. Code r. 65E-9.013 | |
| FL | Sexual Abuse/Sexual Battery | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Significant Injury to Individuals in Treatment | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Significant Injury to Staff | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | Suicide Attempt | within one (1) business day of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | Fla. Admin. Code r. 65D-30.004 | |
| FL | suspected abuse and neglect | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | phone | Fla. Admin. Code r. 65E-12.106 | |
| FL | suspected cases of child abuse, neglect, and exploitation | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | phone | Fla. Admin. Code r. 65E-9.012 | |
| FL | temporary relocation of services | within two business days of relocation | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | Fla. Admin. Code r. 65D-30.0034 | |
| FL | unusual incidents occurring during the client transport process | immediately upon arrival at the treatment facility | PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-20.010 | |
| FL | unusual incidents or injuries | immediately | CMHC MH_RESIDENTIAL PSYCH_FACILITY | — | Fla. Admin. Code r. 65E-5.400 | |
| GA | breaches of HIPAA | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | Ga. Comp. R. & Regs. 82-4-1 | |
| GA | critical incidents | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ga. Comp. R. & Regs. 82-3-1 | |
| GA | findings related to a designated facility's Emergency Receiving, Evaluation, and/or Treatment services | within 30 days of the date on which the findings are communicated to the facility | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | Ga. Comp. R. & Regs. 82-8-1 | |
| GA | incident of abuse or sexual activity | immediately | PSYCH_FACILITY SUD_RESIDENTIAL | — | Ga. Comp. R. & Regs. 82-5-1 | |
| GA | loss, restriction, or suspension of any license | within 24 hours of its receipt of such notice | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | Ga. Comp. R. & Regs. 82-8-1 | |
| GA | Reports of breaches of HIPAA | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ga. Comp. R. & Regs. 82-3-1 | |
| GA | serious occurrence | as soon as possible, and in no case later than twenty-four (24) hours | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | Ga. Comp. R. & Regs. 82-4-1 | |
| IA | absence | Required (timeframe not stated) | SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| IA | admissions, discharges, and transfers | immediately | OUTPATIENT | — | Iowa Admin. Code ch. 641-155 | |
| IA | alleged violations of mistreatment, neglect, or abuse of children and dependent adults | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| IA | crisis incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 441-24 | |
| IA | death of a patient | immediately | SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| IA | incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 441-24 | |
| IA | incident involving serious bodily injury | Required (timeframe not stated) | SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| IA | incident report | within 72 hours of the incident | MH_RESIDENTIAL OUTPATIENT | written | Iowa Admin. Code ch. 441-24 | |
| IA | incident reporting requirements | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 441-24 | |
| IA | incidents reported under subrule 24.4(5) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 441-24 | |
| IA | patient begins interim treatment | Required (timeframe not stated) | OUTPATIENT | — | Iowa Admin. Code ch. 641-155 | |
| IA | patient leaves interim treatment | Required (timeframe not stated) | OUTPATIENT | — | Iowa Admin. Code ch. 641-155 | |
| IA | patient transfers to comprehensive maintenance treatment | Required (timeframe not stated) | OUTPATIENT | — | Iowa Admin. Code ch. 641-155 | |
| IA | removal of the juvenile from the facility | Required (timeframe not stated) | SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| IA | safety hazards | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| IA | serious illness | Required (timeframe not stated) | SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| IA | staff person sanctioned or disciplined by a certifying or licensing body | within ten days of being informed | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Iowa Admin. Code ch. 641-155 | |
| IA | unusual patient reaction to a medication | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Iowa Admin. Code ch. 641-155 | |
| ID | out of compliance | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | IDAPA 16.07.17 | |
| IL | abuse or neglect of a recipient by an owner, licensee, administrator, employee, or agent of a facility | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | Ill. Admin. Code tit. 59, § 125 | |
| IL | abuse, neglect, and exploitation | within 24 hours after receiving the allegation | MH_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 115 | |
| IL | accidents and unusual occurrences | by telephone within twelve hours ... and confirmed in writing no later than the next working day with a complete statement of circumstances | MH_RESIDENTIAL PSYCH_FACILITY | phone | Ill. Admin. Code tit. 59, § 125 | |
| IL | change in medical director | within ten calendar days of such change | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | change or delay in accreditation approval status | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | communicable or infectious diseases | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | Ill. Admin. Code tit. 59, § 112 | |
| IL | complaints regarding individual rights | Required (timeframe not stated) | MH_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 115 | |
| IL | controlled substance discrepancy | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 116 | |
| IL | coroner's report (following significant incident) | within five calendar days of receipt by the organization or as part of submission of the written report | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | Critical Incidents | Required (timeframe not stated) | MH_RESIDENTIAL |
portal
http://www.dhs.state.il.us/page.aspx?item=97101 |
Ill. Admin. Code tit. 59, § 115 | |
| IL | deaths of recipients | by telephone within twelve hours ... and confirmed in writing no later than the next working day with a complete statement of circumstances | MH_RESIDENTIAL PSYCH_FACILITY | phone | Ill. Admin. Code tit. 59, § 125 | |
| IL | DUI offender does not complete or refuses to sign the evaluation or does not return to sign the evaluation | within five calendar days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | DUI offender does not complete or refuses to sign the evaluation or does not return to sign the evaluation after 30 calendar days from date of last contact | within five calendar days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | incident | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | incident of restraint (identified in Personal Plan) — guardian notification | no later than 24 hours after any incident of restraint occurs | MH_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 115 | |
| IL | incident of restraint not identified in the Personal Plan | Required (timeframe not stated) | MH_RESIDENTIAL | portal | Ill. Admin. Code tit. 59, § 115 | |
| IL | incident of restraint not identified in the Personal Plan — guardian notification | no later than 24 hours after any incident of restraint not identified in the Personal Plan occurs | MH_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 115 | |
| IL | incident which is subject to the Criminal Code of 2012 | Within 24 hours of occurrence | MH_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 115 | |
| IL | information discovered or disclosed indicating the DUI offender was not correctly evaluated and is in need of additional services | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | involuntary termination from DUI risk education | within five calendar days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | leave of absence or permanent change of the medical director | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | medication error | within 7 calendar days after the occurrence | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 116 | |
| IL | medication error meeting reporting criteria of DHS rules on Office of Inspector General Investigations | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 116 | |
| IL | prohibited restraint (prone, supine, mechanical, or chemical) utilized by a CILA agency employee | Required (timeframe not stated) | MH_RESIDENTIAL | portal | Ill. Admin. Code tit. 59, § 115 | |
| IL | refusal to sign informed consent or provide copies of other completed evaluations | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Ill. Admin. Code tit. 77, § 2060 | |
| IL | reports of abuse, neglect and improper care | by telephone within twelve hours ... and confirmed in writing no later than the next working day with a complete statement of circumstances | MH_RESIDENTIAL PSYCH_FACILITY | phone | Ill. Admin. Code tit. 59, § 125 | |
| IL | restraint not identified in the Personal Plan | Required (timeframe not stated) | MH_RESIDENTIAL | portal | Ill. Admin. Code tit. 59, § 115 | |
| IL | significant incident | within 24 hours after its occurrence | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | Ill. Admin. Code tit. 77, § 2060 | |
| IL | staff violation of the code of ethics that negatively impacts client/patient/resident care or could impact any staff credential or license | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ill. Admin. Code tit. 77, § 2060 | |
| IL | suspected instances of abuse, neglect or exploitation | within four hours of discovery | MH_RESIDENTIAL | — | Ill. Admin. Code tit. 59, § 115 | |
| IL | suspected or confirmed client/patient/resident abuse/assault and or neglect by staff | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Ill. Admin. Code tit. 77, § 2060 | |
| IL | untoward or extraordinary situations (including prolonged understaffing, suspected abuse/neglect, inappropriate level of care, unattended medical needs, unexplained weight loss or gain, filth/dirt/odors, room temperature extremes, contagious diseases, nat | immediate verbal reports ... followed by written confirmation within 24 hours | MH_RESIDENTIAL PSYCH_FACILITY | phone | Ill. Admin. Code tit. 59, § 125 | |
| IN | A suicide attempt by a resident or household member | within one (1) working day | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 440 IAC 7.5 | |
| IN | administration of opioid treatment medication under extenuating circumstances | within twenty-four (24) hours | OUTPATIENT SUD_IOP | written | 440 IAC 10 | |
| IN | admission of a child fourteen (14) years of age or younger to a nonsegregated (adult) unit | within twenty-four (24) hours of the admission | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | admission of a child, fourteen years of age or younger, to an adult unit | within twenty-four (24) hours | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | Adverse action against the entity as the result of the violation of health, fire, or safety codes | within thirty (30) days after the occurrence | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 440 IAC 4.1 | |
| IN | alleged violation of health, fire, or safety codes | within twenty-four (24) hours | OUTPATIENT SUD_IOP | written | 440 IAC 10 | |
| IN | any consumer death that occurs while the consumer is in restraint or seclusion | within twenty-four (24) hours | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | Any emergency rendering the residence temporarily or permanently uninhabitable | within one (1) working day | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 440 IAC 7.5 | |
| IN | any fire or explosion | within twenty-four (24) hours | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | Any fire requiring a local fire department response | within one (1) working day | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 440 IAC 7.5 | |
| IN | Any incident involving the resident or a household member requiring local police response | within one (1) working day | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 440 IAC 7.5 | |
| IN | Any serious injury of a resident or household member requiring professional medical attention | within one (1) working day | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 440 IAC 7.5 | |
| IN | chemical poisoning | within twenty-four (24) hours | OUTPATIENT SUD_IOP | — | 440 IAC 10 | |
| IN | chemical poisoning occurring within the facility resulting in actual or potential harm to a consumer | within ten (10) working days | PSYCH_FACILITY SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | consumer who is missing or cannot be located for more than twenty-four hours | within ten (10) working days | PSYCH_FACILITY SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | death associated with the use of seclusion or restraint | within twenty-four (24) hours of the facility's knowledge of the occurrence | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | death associated with the use of seclusion or restraint (written report) | within ten (10) working days of the facility's knowledge of the occurrence | PSYCH_FACILITY SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | death of a consumer within one week after restraint or seclusion where it is reasonable to assume the use of restraint or seclusion contributed to the death | within twenty-four (24) hours | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | death of a consumer within twenty-four hours after removal from restraint or seclusion | within twenty-four (24) hours | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | death of an enrolled patient | within twenty-four (24) hours | OUTPATIENT SUD_IOP | — | 440 IAC 10 | |
| IN | death of an individual | within thirty (30) days after the occurrence | CMHC | written | 440 IAC 11 | |
| IN | death of an individual residing with an enrolled patient related to ingestion of opioid treatment medication | within twenty-four (24) hours | OUTPATIENT SUD_IOP | — | 440 IAC 10 | |
| IN | death or kidnapping of a consumer occurring after admission | within twenty-four (24) hours | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | disruption exceeding four hours in the continued safe operation of the facility or in the provision of consumer care | within twenty-four (24) hours | PSYCH_FACILITY SUD_RESIDENTIAL | phone | 440 IAC 1.5 | |
| IN | disruption in the continued safe operation of the OTP or in the provision of patient care | within twenty-four (24) hours | OUTPATIENT SUD_IOP | — | 440 IAC 10 | |
| IN | documented violation of a consumer's rights | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 440 IAC 4.4 | |
| IN | documented violation of a patient's rights | within twenty-four (24) hours | OUTPATIENT SUD_IOP | written | 440 IAC 10 | |
| IN | documented violation of health, fire, or safety codes | Required (timeframe not stated) | CMHC MH_RESIDENTIAL SUD_RESIDENTIAL | written | 440 IAC 6 | |
| IN | Documented violation of the rights of an individual being treated for mental illness | within thirty (30) days after the occurrence | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 440 IAC 4.1 | |
| IN | Documented violation of the rights of an individual being treated for mental illness under IC 12-27 | within thirty (30) days after the occurrence | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 440 IAC 4.3 | |
| IN | documented violation of the rights of an individual being treated in the private mental health institution under IC 12-27 | within ten (10) working days | PSYCH_FACILITY SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | documented violation of the rights of an individual who is a client of the residential provider | Required (timeframe not stated) | CMHC MH_RESIDENTIAL SUD_RESIDENTIAL | written | 440 IAC 6 | |
| IN | emergency so severe as to render a sub-acute facility or supervised group living facility uninhabitable | immediately by telephone to any agency responsible for the placement of residents and to the division no later than the first business day following the day of the emergency | MH_RESIDENTIAL SUD_RESIDENTIAL | phone | 440 IAC 7.5 | |
| IN | employee conviction under any criminal drug statute for a violation occurring in the workplace | within ten (10) days after receiving a notice | OUTPATIENT SUD_IOP | written | 440 IAC 10 | |
| IN | fire or explosion | within twenty-four (24) hours | OUTPATIENT SUD_IOP | — | 440 IAC 10 | |
| IN | incident reporting | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | 440 IAC 10 | |
| IN | reporting of information to health agencies | Required (timeframe not stated) | PSYCH_FACILITY SUD_RESIDENTIAL | — | 440 IAC 1.5 | |
| IN | serious injury to a consumer with actual or potential loss of function or marked deterioration in condition under unanticipated or unexpected circumstances | within ten (10) working days | PSYCH_FACILITY SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | serious patient injury | within twenty-four (24) hours | OUTPATIENT SUD_IOP | — | 440 IAC 10 | |
| IN | suicide attempt by an individual | within thirty (30) days after the occurrence | CMHC | written | 440 IAC 11 | |
| IN | Suspected or alleged exploitation, neglect, or abuse of a resident or household member | within one (1) working day | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 440 IAC 7.5 | |
| IN | The death of a resident or household member | within one (1) working day | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 440 IAC 7.5 | |
| IN | unexplained loss or theft of a controlled substance | within ten (10) working days | within twenty-four (24) hours | OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | violation of health, fire, or safety codes | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 440 IAC 4.4 | |
| IN | written report of admission of a child fourteen (14) years of age or younger to a nonsegregated (adult) unit | within ten (10) working days | PSYCH_FACILITY SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | written report of occurrences listed in subsection (e) | within ten (10) working days | PSYCH_FACILITY SUD_RESIDENTIAL | written | 440 IAC 1.5 | |
| IN | written report of reportable events | within ten (10) business days of the occurrence | OUTPATIENT SUD_IOP | written | 440 IAC 10 | |
| KS | a patient, staff member, or volunteer contracts a reportable infectious or contagious disease specified in K.A.R. 28-1-2 | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | a riot or the taking of hostages at the center | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KS | adult in need of protective services or being harmed as a result of abuse, neglect, or exploitation | no later than 12 hours after the occurrence or discovery of the incident, excluding weekends and state holidays | CMHC | — | K.A.R. 26-52-28 | |
| KS | adverse incident report (AIR) | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | change in staff members responsible for the safe and orderly closure of the center | within 24 hours | CMHC | — | K.A.R. 26-52-32 | |
| KS | change in the administrative director | no later than three days after the occurrence of a change in the administrative director | CMHC | written | K.A.R. 26-52-9 | |
| KS | change in the clinical director | no later than three days after the occurrence of a change in the clinical director | CMHC | — | K.A.R. 26-52-9 | |
| KS | critical incidents | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | K.A.R. 26-52-12 | |
| KS | death of a patient at the center | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KS | death of a staff member or volunteer while on duty at the center | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KS | elopement of a patient | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KS | evacuation, displacement, or relocation of any patients from the center | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | fire or any natural disaster affecting center operations | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | illegal act committed in the center | prompt | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | K.A.R. 26-52-12 | |
| KS | infectious or contagious diseases | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-22 | |
| KS | loss of heat, ventilation, or air conditioning (HVAC), or utilities at the center exceeding four hours | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | medication error with an adverse reaction of a patient which resulted in an emergency room visit, hospitalization, or death | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | outbreak of COVID-19 at the center affecting five or more patients | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | patient elopement | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | K.A.R. 26-52-12 | |
| KS | reportable incident | within five days after the occurrence or discovery of any reportable incident, or completion of the investigation of each reportable incident, whichever is earlier | CMHC | written | K.A.R. 26-52-29 | |
| KS | serious injury to any patient, staff member or volunteer | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KS | serious injury to the consumer resulting from de-escalation technique or emergency behavioral intervention | Required (timeframe not stated) | CMHC | — | K.A.R. 30-60-48 | |
| KS | structural damage to the center | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | suicide attempt committed at the center by a patient, staff member, or volunteer | no later than 12 hours after the occurrence or discovery of each incident | CMHC | portal | K.A.R. 26-52-28 | |
| KS | suspected abuse, neglect, and exploitation of a patient | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KS | suspected illegal act committed at the center by a patient, staff member, or volunteer | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KS | suspected incidents of either child abuse, neglect, or exploitation, or the abuse, neglect, or exploitation of an adult | Required (timeframe not stated) | CMHC | — | K.A.R. 30-60-56 | |
| KS | suspected sexual assault involving a patient as victim or perpetrator | Required (timeframe not stated) | CMHC | — | K.A.R. 26-52-28 | |
| KY | accident or injury that requires hospitalization or results in death | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 908 KAR 1:370 | |
| KY | compliance or noncompliance report | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 908 KAR 1:310 | |
| KY | discharge or transfer of a violent offender | Prior to the discharge or transfer | PSYCH_FACILITY | 908 KAR 3:025 | ||
| KY | discrepancies in controlled substance tablet count | within forty-eight (48) hours of the event | OUTPATIENT SUD_IOP SUD_PHP | — | 908 KAR 1:374 | |
| KY | escape of a violent offender | no later than one (1) hour after an escape is discovered | PSYCH_FACILITY | phone | 908 KAR 3:025 | |
| KY | failed drug test | within two (2) working days of receiving drug testing results | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | 908 KAR 3:190 | |
| KY | grievance alleging abuse or neglect | Required (timeframe not stated) | OUTPATIENT | — | 908 KAR 1:400 | |
| KY | grievance alleging abuse or neglect of a minor | Required (timeframe not stated) | OUTPATIENT | — | 908 KAR 1:400 | |
| KY | grievance alleging abuse or neglect of an adult | Required (timeframe not stated) | OUTPATIENT | — | 908 KAR 1:400 | |
| KY | incident that involves fire damage, a natural disaster, or threat to security that substantially interrupts the delivery of services | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 908 KAR 1:370 | |
| KY | inventory discrepancy required to be reported to the DEA | within forty-eight (48) hours of reconciliation | OUTPATIENT SUD_IOP SUD_PHP | — | 908 KAR 1:374 | |
| KY | inventory discrepancy required to be reported to the SNA and the DEA | within forty-eight (48) hours of reconciliation | OUTPATIENT SUD_IOP SUD_PHP | — | 908 KAR 1:374 | |
| KY | involuntary discharge from the program | no later than three (3) days after the decision is made to discharge the offender | OUTPATIENT | written | 908 KAR 1:315 | |
| KY | noncompliance report | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 908 KAR 1:310 | |
| KY | notification of need for service at a different level of care | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 908 KAR 1:310 | |
| KY | positive drug test result | within two (2) working days of receiving drug testing results | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | 908 KAR 3:190 | |
| KY | positive drug test result or failed drug test | within two (2) working days of receiving drug testing results | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | 908 KAR 3:190 | |
| KY | positive HIV results | Required (timeframe not stated) | SUD_RESIDENTIAL | — | 908 KAR 1:370 | |
| KY | positive HIV test results | Required (timeframe not stated) | SUD_RESIDENTIAL | — | 908 KAR 1:370 | |
| KY | suspected adult abuse, neglect, or exploitation | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 908 KAR 1:370 | |
| KY | suspected child dependency, abuse, or neglect | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 908 KAR 1:370 | |
| KY | suspected violation of a licensure standard | Required (timeframe not stated) | OUTPATIENT | — | 908 KAR 1:400 | |
| KY | voluntary disclosure | within two (2) working days of receiving notice of a voluntary disclosure | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | 908 KAR 3:190 | |
| KY | written report notifying the court that the client has completed the program | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | written | 908 KAR 1:310 | |
| LA | abuse or neglect of a client | verbally within two hours; written notification within 24 hours | MH_RESIDENTIAL | phone | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | abuses and losses of controlled substances | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | La. Admin. Code tit. 48, Pt. I, ch. 62 | |
| LA | accidents/incidents occurring on the premises | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | allegations of abuse or mistreatment of clients | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | allegations of abuse, neglect, exploitation or misappropriation of a client | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | allegations of client abuse, neglect and/or exploitation | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | allegations of client abuse, neglect, exploitation and misappropriation of client funds | within 24 hours of discovery | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | any death or serious injury of a client | within 24 hours of discovery | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | any death or serious injury of a client that may potentially be related to program activities | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | any death or serious injury of a client who was on-site at the BHS provider's premises or a resident of the provider's facility | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | any disaster or emergency or other unexpected event that causes significant disruption to program operations | within 24 hours of discovery | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | any disaster or emergency or other unexpected event that causes significant disruption to program operations and an inability to provide services for greater than 24 hours | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | change in accreditation status | within two business days | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | client abuse, neglect or misappropriation | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | crisis or emergency situations | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | La. Admin. Code tit. 48, Pt. I, ch. 62 | |
| LA | crisis situation | when it occurs | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | critical incidents | preliminary written report within 24 hours of the incident | MH_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | death of a client enrolled in their clinic | within 24 hours of the discovery of the client's death | OUTPATIENT | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | death of a client related to program activity | within 24 hours of discovery | OUTPATIENT | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | Denial, loss of or any negative change in accreditation status | within the time limit established by the department | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | written | La. Admin. Code tit. 50, Pt. XXXIII, Subpt. 11 | |
| LA | discrepancies in inventory of controlled dangerous substances | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | discrepancies in inventory of controlled substances | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | discrepancies in inventory, misuse and abuse of controlled dangerous substances | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | documentation on the cause and/or circumstances of client death | within 24 hours of the provider's receipt of the documentation | OUTPATIENT | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | drug administration errors, adverse drug reactions, and incompatibilities | immediately | MH_RESIDENTIAL PRTF | — | La. Admin. Code tit. 48, Pt. I, ch. 62 | |
| LA | failure to notify the proper authorities of all suspected cases | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | fire, disaster or other emergency | immediately | MH_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | incident | within two hours of the time of the incident | MH_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | incident resulting in the death of a client | verbally within two hours; written notification within 24 hours | MH_RESIDENTIAL | phone | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | incident/accident reports | Required (timeframe not stated) | MH_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | incidents | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | incidents and accidents, including medical emergencies | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | incidents involving abuse and neglect | Required (timeframe not stated) | MH_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | incidents of abuse or mistreatment | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | La. Admin. Code tit. 48, Pt. I, ch. 62 | |
| LA | incidents of abuse, neglect and misappropriation | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | incidents of abuse, neglect, accidents or critical incidents, including use of passive physical restraints | — | MH_RESIDENTIAL PRTF | written | La. Admin. Code tit. 48, Pt. I, ch. 62 | |
| LA | incidents of neglect, abuse or mistreatment | Required (timeframe not stated) | MH_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | injuries and deaths of clients that occurred during execution of the plan, evacuation or temporary relocation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | La. Admin. Code tit. 48, Pt. I, ch. 54 | |
| LA | interruption in services or a change in the licensed location due to an emergency situation | no later than the next business day | MH_RESIDENTIAL PRTF | — | La. Admin. Code tit. 48, Pt. I, ch. 62 | |
| LA | lost or missing medications | Required (timeframe not stated) | MH_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | medication errors and adverse drug reactions | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 53 | |
| LA | medication errors, adverse drug reactions, and interactions with other medications, food or beverages | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | positive drug test | Required (timeframe not stated) | MH_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | program violations | immediately | MH_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | reporting of infectious disease | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 54 | |
| LA | reporting requirements | in a timely manner | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | serious threat to the client's health, safety or well-being | verbally within two hours; written notification within 24 hours | MH_RESIDENTIAL | phone | La. Admin. Code tit. 48, Pt. I, ch. 72 | |
| LA | signs or symptoms of a communicable disease or contagious illness | as soon as possible | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| LA | signs or symptoms of a communicable disease or personal illness | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | La. Admin. Code tit. 48, Pt. I, ch. 62 | |
| LA | violations of laws, rules, and professional and ethical codes of conduct by provider staff and volunteers | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | La. Admin. Code tit. 48, Pt. I, ch. 56 | |
| MA | absence without authorization | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | absent without authorization (AWA) | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | Abuse of Elderly Persons | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | adverse drug events | no later than the next business day following the occurrence of such adverse event | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | Adverse Incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 130 CMR 418.00 | |
| MA | adverse incidents | within 24 hours of discovery of the incident, or, if the incident occurs on a holiday or weekend, on the next business day | CCBHC CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 130 CMR 418.00 | |
| MA | allegations of abuse and neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | allegations of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | allegations of mistreatment | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | alleged abuse or neglect at the program | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | alleged abuse or neglect, or physical or sexual assault, or prohibited interaction | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | alleged abuse or neglect, or sexual or serious physical assault | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | any condition at the program which poses a threat to the health, safety, or well-being of patients or staff | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | any condition at the program which poses a threat to the health, safety, or well-being of patients, residents, or staff | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | any other serious incident or accident | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | any other serious incident or accident as specified in guidelines of the Department | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | attempted suicide which results in serious physical harm | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | Cases of Injured, Abused or Neglected Children | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | Change in Accreditation or Certification; Notices of Termination, Immediate Jeopardy, and Corrective Action Orders | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | change in accreditation status | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | civil action or criminal charge | no later than one business day after the initiation of any legal action | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | civil action or criminal charge initiated against the Approved Provider or any person employed or contracted by the Approved Provider that relates to the delivery of the service or may affect the continued operation of the facility | no later than one calendar day after the initiation of any legal action | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | civil action or criminal charge initiated against the Licensed or Approved Provider or any person employed or contracted by the Licensed or Approved Provider that relates to the delivery of the service or may affect the continued operation of the program | no later than one calendar day after the initiation of any legal action | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | commission of a felony | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | communicable and other infectious disease | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | complaint | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | complaint communicated by OSHA or DLS, or findings, citations, agreements or other notifications from OSHA or DLS | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | complaint involving serious physical harm | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | complaint regarding any incident or condition which he or she believes to be dangerous, illegal or inhumane | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | complaints and allegations of mistreatment, harm or violation of a person's rights | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | complaints concerning the threat or use of restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | complaints that the rights of a patient are being abridged by the use of restraint or seclusion | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | condition at the facility which poses a threat to the health or safety of patients or staff | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | confirmed cases among staff or patients and residents of communicable diseases | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | confirmed cases among staff or patients and residents of communicable diseases which are reportable under 105 CMR 300.000 | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | confirmed cases of communicable diseases which are reportable | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | criminal acts alleged to have been committed by patients, contractors, or staff members | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | criminal acts alleged to have been committed by patients, residents, contractors, or staff members | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | danger to patients | immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 104 CMR 27.00 | |
| MA | death of a patient | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
911 |
105 CMR 164.00 | |
| MA | death of a resident | immediately | SUD_RESIDENTIAL |
phone
911 |
105 CMR 164.00 | |
| MA | death of any patient | immediately (verbal); in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | death of any person currently admitted to the program | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | denial of admission due to intoxication | within one business day | SUD_RESIDENTIAL | written | 105 CMR 164.00 | |
| MA | Disabled Persons Protection Commission report | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | discharge of patient on AWA status | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | discharges to a shelter or the street | on a quarterly basis | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | elopements of adolescent patients | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | elopements of patients committed under M.G.L. c. 123 § 35 | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | emergency | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | fire | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | fire or other event | immediately (verbal); in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | fire or other event resulting in damage to the facility | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | full or partial evacuation of the facility | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | health, safety or well-being of patients or residents is in imminent danger as a result of conditions existing within the program | immediately upon becoming aware of the danger to patients or residents | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | imminent danger to patients as a result of conditions existing within the program | immediately upon becoming aware of the danger to patients | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | inability to provide adequate care due to medical or physical condition | Required (timeframe not stated) | SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | incident or allegation connected with the service that involves the health or safety of a person in the service | immediately inform the Department orally, and in writing the next business day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 28.00 | |
| MA | incident or condition which is believed to be dangerous, illegal or inhumane | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | incident sufficiently serious or complicated as to require investigation by the Office of Investigations or Director of Licensing | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | incidents of child abuse and neglect | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | incidents that effect, or could potentially effect, the health and safety of patients or cause physical injury | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | internal incident investigation and reporting | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | internal incident reports | no later than ten business days from the date of the incident or from the date the Licensed or Approved Provider knew or should have known about the incident | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | Interruption or Suspension of Service | immediately (verbal); in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | interruption or suspension of service due to imminent danger | immediately upon becoming aware of the danger to patients or residents | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | interruption or suspension of services or program | Within five calendar days of the interruption or suspension | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 105 CMR 164.00 | |
| MA | legal proceeding | as soon as practicable after the provider has received notice of the initiation of such legal proceeding | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 104 CMR 28.00 | |
| MA | Legal Proceedings | no later than 24 hours of the facility becoming aware of any legal action or within 24 hours of service of notice upon the facility or its agent, whichever occurs first | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 104 CMR 27.00 | |
| MA | mandated reports of abuse of a disabled person | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | mandated reports of child abuse or neglect | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | mandated reports of elder abuse | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | mechanical restraint or seclusion exceeding 12 hours or total episodes exceeding 12 hours in a 48-hour period | by the next business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | medicolegal death | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | monthly report on physical restraint | at the end of any month in which physical restraint was utilized | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 104 CMR 28.00 | |
| MA | other reportable incidents | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | patient classified as AWA (Absent Without Authorization) | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | patient's status report | 30 calendar days prior to the end of one complete year of outpatient treatment | OUTPATIENT | — | 105 CMR 164.00 | |
| MA | pending or actual strike action by its employees | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | Persons Having Knowledge of a Death to Notify Medical Examiner | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | physical assault or abuse which results in serious physical harm | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | program operating at capacity | Required (timeframe not stated) | SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | report alleging abuse or neglect of a person receiving services | no later than the next business day after a report has been filed | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | reportable incident | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | reporting requirements for substance use disorder treatment or services | Required (timeframe not stated) | PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | reports of abuse of a disabled person | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | reports of abuse of a disabled person made under M.G.L. c. 19C | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | reports of child abuse or neglect | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | reports of child abuse or neglect made under M.G.L. c. 119, § 51A | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | reports of elder abuse or neglect | verbally immediately, and in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | reports of elder abuse or neglect made under M.G.L. c. 19A, § 15 | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | Reports of Felonies Committed by or Upon Persons Under Care of the Department | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | required notifications to the Department | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | restraint and seclusion forms and aggregate report | at the end of each month | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | restraint and seclusion forms with attachments and aggregate report | At the end of each month | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | return from AWA | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 27.00 | |
| MA | serious incident | immediately (verbal); in writing within one business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 104 CMR 27.00 | |
| MA | serious incident occurring on premises covered by the License or Approval | within five business days of the date of occurrence of the event | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | serious incident occurring on premises covered by the License or Approval that seriously affects the health, safety, or well-being of a patient(s) or that causes serious physical injury to a patient(s) | within five business days of the date of occurrence of the event | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | serious incident occurring under the auspices of the Approved services that seriously affects the health, safety, or well-being of a patient(s) or that causes serious physical injury to a patient(s) | within five business days of the date of occurrence of the event | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | serious physical injury resulting from restraint or seclusion practices | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | sexual assault or abuse | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | simultaneous enrollment in another Opioid Treatment Program | within 24 hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | staff censured by DPH or sanctioned by their board of licensure | Required (timeframe not stated) | CMHC MH_IOP OUTPATIENT SUD_IOP | — | 130 CMR 429.00 | |
| MA | staff censured by the Department of Public Health or sanctioned by their board of licensure | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP | — | 130 CMR 448.00 | |
| MA | suicide | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MA | suspected improprieties of a guardian, conservator, trustee, representative payee or other fiduciary | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | suspected incidents of child abuse and neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | suspected misuse of prescription medication | promptly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | suspected shortages or diversion of prescription medications | promptly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | termination of any patient for failure to comply with program rules, intoxication and/or disruptive behavior | immediately | OUTPATIENT | — | 105 CMR 164.00 | |
| MA | use of mechanical restraint on a minor younger than 13 years old | by the next business day | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 104 CMR 27.00 | |
| MA | use of physical restraint | as soon as possible, but no later than the next business day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 104 CMR 28.00 | |
| MA | violation of a client's privacy rights | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 104 CMR 32.00 | |
| MA | weapons turned over to the police | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 105 CMR 164.00 | |
| MD | accident or injury (non-serious) | on the day that the accident or injury occurs | CMHC MH_PHP | — | COMAR 10.21.18 | |
| MD | accident or injury (serious injury) | immediately | CMHC MH_PHP | — | COMAR 10.21.18 | |
| MD | allegation of mental, physical, or sexual abuse or neglect of an individual | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF | — | COMAR 10.21.17 | |
| MD | allegations of abuse or neglect of the resident | Immediately | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | COMAR 10.21.14 | |
| MD | communicable diseases | Required (timeframe not stated) | CMHC MH_PHP | — | COMAR 10.21.18 | |
| MD | critical incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | COMAR 10.47 | |
| MD | critical incident reports | documented on the day of the incident | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | COMAR 10.47 | |
| MD | critical incidents | within 5 business days of the incident | within 5 calendar days following the program receiving knowledge of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | COMAR 10.47 | |
| MD | data on outcomes and social determinants of care | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | COMAR 10.63 | |
| MD | death of an individual | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF | written | COMAR 10.21.17 | |
| MD | diversion of any controlled substance | as soon as the diversion is discovered | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | COMAR 10.47 | |
| MD | diversion of any individual on an emergency petition | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | COMAR 10.63 | |
| MD | diversion status initiation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | COMAR 10.63 | |
| MD | grievance alleging abuse | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | COMAR 10.21.14 | |
| MD | incident reporting | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF | — | COMAR 10.21.17 | |
| MD | incident that requires police intervention | Required (timeframe not stated) | CMHC MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | COMAR 10.21.09 | |
| MD | medication error | at the time of the incident | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | COMAR 10.47 | |
| MD | physical or sexual abuse | immediately | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | COMAR 10.21.14 | |
| MD | substantial risk of serious harm or potential for serious harm to a grievant | immediately | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | COMAR 10.21.14 | |
| MD | suspected child abuse | Required (timeframe not stated) | CMHC MH_PHP | — | COMAR 10.21.18 | |
| MD | suspected child neglect | Required (timeframe not stated) | CMHC MH_PHP | — | COMAR 10.21.18 | |
| ME | Abuse or Neglect | Required (timeframe not stated) | PRTF | — | 10-144 CMR ch. 101, ch. II §107 | |
| ME | adult abuse, neglect, or exploitation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | adverse events | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | adverse events — fire, structural damage or other catastrophe | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | adverse or potentially adverse event | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10-144 CMR ch. 123 | |
| ME | allegation of abuse, exploitation or neglect | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | allegation of abuse, mistreatment, or exploitation | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | alleged abuse, neglect or exploitation in the context of service provision (adult) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | alleged abuse, neglect or exploitation in the context of service provision (child) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | arrest or indictment of organizational personnel related to criminal activity alleged to have occurred on the grounds of the organization or any location where services are provided | within 24 hours after receiving notice, or learning of | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10-144 CMR ch. 123 | |
| ME | changes in Licensing or Credentialing status | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 101, ch. II §65 | |
| ME | child abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | client's death | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | clients have been evacuated from a residential facility for any reason other than a timed drill | after clients are safely evacuated | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | confidentiality or privacy breaches | — | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10-144 CMR ch. 123 | |
| ME | critical incident | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | 10-144 CMR ch. 101, ch. II §66 | |
| ME | Critical Incident (Level 1) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | Critical Incident (Level 2) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | Critical Incident Reporting forms alleging abuse, neglect, or exploitation of an adult client | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | each use of restraint | on a quarterly basis | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 14-193 CMR ch. 1 | |
| ME | each use of seclusion | on a quarterly basis | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 14-193 CMR ch. 1 | |
| ME | emergency | as soon as possible | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-472 CMR ch. 1 | |
| ME | emergency situation regarding the recipient's health or safety | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | emergency take home exception occurrence | within one business day of the emergency take home exception occurrence | OUTPATIENT | written | 10-144 CMR ch. 123 | |
| ME | fire, structural damage or other catastrophe which renders the facility unsafe, unusable or uninhabitable | within a time which is reasonable to permit a determination of whether any change in licensing status is necessary | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | formal complaints and grievances appealed to the chief administrative officer | semi-annually | PSYCH_FACILITY | written | 14-472 CMR ch. 1 | |
| ME | imminent danger of serious physical harm | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | imminent danger of serious physical harm inflicted by the recipient on him or herself or upon another | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | incidents involving adults (abuse, neglect, or exploitation) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | incidents involving children (abuse, neglect, or exploitation) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | initiation of all services | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 101, ch. II §65 | |
| ME | legal proceedings related to the provision of services or the continued operation of the organization | within two (2) business days after the organization receives notice | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10-144 CMR ch. 123 | |
| ME | Level 1 critical incident | within four hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 10-144 CMR ch. 123 | |
| ME | Level 2 critical incident | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10-144 CMR ch. 123 | |
| ME | mandated reporting | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 10-144 CMR ch. 101, ch. II §97 | |
| ME | medication errors and adverse reactions | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10-144 CMR ch. 123 | |
| ME | medication errors and reactions | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | member death | no later than close of business the next business day after the member's death | PRTF | — | 10-144 CMR ch. 101, ch. II §107 | |
| ME | member is discharged | within ten (10) days of discharge | OUTPATIENT | written | 10-144 CMR ch. 101, ch. II §102 | |
| ME | Member is suicidal and/or a danger to others | immediate | MH_RESIDENTIAL SUD_RESIDENTIAL | phone | 10-144 CMR ch. 101, ch. II §66 | |
| ME | Member with an intellectual or developmental disability, acquired brain injury, or autism spectrum disorder who is in Crisis | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | phone | 10-144 CMR ch. 101, ch. II §66 | |
| ME | notifiable diseases | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | OADS Reportable Event | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 10-144 CMR ch. 101, ch. II §97 | |
| ME | outbreak of a notifiable disease | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | outbreak of a reportable infectious disease or novel virus | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | placement of a recipient in seclusion | as soon as possible | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | prescriptions for buprenorphine, buprenorphine derivatives, and naltrexone | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | 10-144 CMR ch. 101, ch. II §93 | |
| ME | PRN psychotropic medication administration | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | proposed experimentation or research involving more than minimal risk | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | Reportable Event | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 10-144 CMR ch. 101, ch. II §97 | |
| ME | reportable event or crisis | within seventy-two (72) hours | CCBHC CMHC OUTPATIENT | written | 10-144 CMR ch. 101, ch. II §92 | |
| ME | reportable events | Required (timeframe not stated) | CMHC OUTPATIENT | — | 10-144 CMR ch. 101, ch. II §13 | |
| ME | reportable incidents | — | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | reporting requirements | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | — | 10-144 CMR ch. 101, ch. II §66 | |
| ME | reports on the Core Standards | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | 10-144 CMR ch. 101, ch. II §93 | |
| ME | resignation or replacement of the medical director | Within five (5) days of the resignation or replacement of the medical director | OUTPATIENT | — | 10-144 CMR ch. 101, ch. II §65 | |
| ME | rights violations | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10-144 CMR ch. 123 | |
| ME | Serious Occurrence | by the close of business the next business day following a Serious Occurrence | PRTF | — | 10-144 CMR ch. 101, ch. II §107 | |
| ME | situations in which an employee has a reasonable belief that the client is likely to engage in physical violence that poses a serious risk of harm to the client or to others | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10-144 CMR ch. 123 | |
| ME | substantial changes or unanticipated problems | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | suspected abuse or neglect of a child | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-800-452-1999 |
10-144 CMR ch. 123 | |
| ME | suspected abuse, neglect, and/or exploitation | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10-144 CMR ch. 123 | |
| ME | suspected abuse, neglect, or exploitation of an incapacitated or dependent adult | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
18006248404 |
10-144 CMR ch. 123 | |
| ME | suspected rights violation involving a child | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10-144 CMR ch. 123 | |
| ME | suspected rights violation pertaining to an adult client with intellectual disability, autism, or acquired brain injury | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10-144 CMR ch. 123 | |
| ME | suspension or termination of approval of research | promptly | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 14-193 CMR ch. 1 | |
| ME | unmet needs identified in the ISP process | Required (timeframe not stated) | CMHC MH_IOP MH_PHP OUTPATIENT | — | 14-193 CMR ch. 1 | |
| ME | use of restraint | on a quarterly basis | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 14-472 CMR ch. 1 | |
| ME | use of restraint or seclusion (notification to parents or legal guardians) | as soon as possible after the initiation of the restraint or seclusion | PRTF | — | 10-144 CMR ch. 101, ch. II §107 | |
| MI | apparent or suspected abuse Class I | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | apparent or suspected abuse Class II | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | apparent or suspected abuse Class III | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | apparent or suspected neglect Class I | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | apparent or suspected neglect Class II | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | apparent or suspected neglect Class III | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | death of patient (discharge by reason of death) | Required (timeframe not stated) | PSYCH_FACILITY | written | Mich. Admin. Code R 330.4011 to R 330.4089 | |
| MI | deaths | as soon as administratively possible | PSYCH_FACILITY | — | Mich. Admin. Code R 330.1201 to R 330.1299 | |
| MI | discharge of judicially admitted resident | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | written | Mich. Admin. Code R 330.5005 to R 330.5091 | |
| MI | discharge, transfer, or placement in another facility of minor under court-ordered continued hospitalization | Required (timeframe not stated) | PRTF PSYCH_FACILITY | — | Mich. Admin. Code R 330.4501 to R 330.4661 | |
| MI | discharge, transfer, placement, or change in admission status of minor | Required (timeframe not stated) | PRTF PSYCH_FACILITY | — | Mich. Admin. Code R 330.4501 to R 330.4661 | |
| MI | dismissal of court-ordered continued hospitalization upon renewal of parental consent | Required (timeframe not stated) | PRTF PSYCH_FACILITY | — | Mich. Admin. Code R 330.4501 to R 330.4661 | |
| MI | extraordinary incidents | — | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | incident records | — | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 325.1301 to R 325.1399 | |
| MI | medication errors and adverse drug reactions | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Mich. Admin. Code R 330.7001 to R 330.7260 | |
| MI | missing person (patient absent without notification of intention to terminate) | immediate | PSYCH_FACILITY | — | Mich. Admin. Code R 330.4011 to R 330.4089 | |
| MI | notification to probate court upon admission by certification | as soon as administratively possible | PSYCH_FACILITY | phone | Mich. Admin. Code R 330.4011 to R 330.4089 | |
| MI | notification to probate court when examination not completed within 24 hours (admission by petition) | Required (timeframe not stated) | PSYCH_FACILITY | — | Mich. Admin. Code R 330.4011 to R 330.4089 | |
| MI | objection to hospitalization by minor age 14 or older | within 24 hours, excluding Saturdays, Sundays, and holidays | PRTF PSYCH_FACILITY | written | Mich. Admin. Code R 330.4501 to R 330.4661 | |
| MI | objection to hospitalization by minor under age 14 | Required (timeframe not stated) | PRTF PSYCH_FACILITY | — | Mich. Admin. Code R 330.4501 to R 330.4661 | |
| MI | resident leaves facility without permission — notification to parent, guardian, or nearest relative | immediately | MH_RESIDENTIAL PRTF | — | Mich. Admin. Code R 330.5005 to R 330.5091 | |
| MI | resident leaves facility without permission (administratively admitted resident meeting criteria for judicial admission) | immediately | MH_RESIDENTIAL PRTF | — | Mich. Admin. Code R 330.5005 to R 330.5091 | |
| MI | unauthorized leave of minor under court order for continued hospitalization | promptly | PRTF PSYCH_FACILITY | — | Mich. Admin. Code R 330.4501 to R 330.4661 | |
| MI | unauthorized leave status — notification to community mental health program | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | Mich. Admin. Code R 330.5005 to R 330.5091 | |
| MN | missing persons | — | MH_RESIDENTIAL | written | Minn. R. 9520.0570 | |
| MN | vulnerable adults | Required (timeframe not stated) | MH_RESIDENTIAL | — | Minn. R. 9520.0570 | |
| MO | abuse or neglect that results in physical injury (law enforcement report) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-5 | |
| MO | abuse, neglect, or misuse of funds/property | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | abuse, neglect, or misuse of funds/property involving criminal misconduct (law enforcement report) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-5 | |
| MO | adverse outcome experienced by an individual served due to participation in a research project | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-7 | |
| MO | allegation or suspicion of abuse, neglect, or misuse of funds/property | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-5 | |
| MO | change of client status from involuntary to voluntary admission | Required (timeframe not stated) | CMHC OUTPATIENT | written | 9 CSR 80-1 | |
| MO | change to the OTP sponsor or medical director | within three (3) weeks of the change | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | client fails to comply with conditions of commitment and program is no longer able to reasonably assure client and/or public safety | Required (timeframe not stated) | CMHC OUTPATIENT | — | 9 CSR 80-1 | |
| MO | complaint of abuse | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-5 | |
| MO | complaint of neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-5 | |
| MO | Complaints of Abuse, Neglect, and Misuse of Funds/Property | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-7 | |
| MO | conviction, plea of guilty, or suspended imposition of sentence for any felony or alcohol- or drug-related offense | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | events (EMT Community Event Report) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 9 CSR 10-5 | |
| MO | events requiring immediate notification (DBH, after hours) | no later than the next business day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 9 CSR 10-5 | |
| MO | events requiring immediate notification (DD, after hours) | verbally per on-call protocol, followed by entry into CIMOR-EMT on the next business day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 9 CSR 10-5 | |
| MO | failure to cooperate in any investigation by the department or authorized by the department | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | fraudulent or false reporting | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | immediate detention to an inpatient setting required due to likelihood of serious harm | immediately | CMHC OUTPATIENT | written | 9 CSR 80-1 | |
| MO | material changes in status | Required (timeframe not stated) | CMHC OUTPATIENT | — | 9 CSR 80-1 | |
| MO | misuse of funds/property | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 9 CSR 10-5 | |
| MO | Neglect | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 9 CSR 10-5 | |
| MO | notify the SOTA when an individual begins interim treatment, when the individual leaves interim treatment, and before the date of transfer to comprehensive treatment | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | offenses considered disqualifying crimes under section 630.170, RSMo | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | Physical abuse | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 9 CSR 10-5 | |
| MO | records of events and reporting requirements | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-7 | |
| MO | release of person prior to expiration of detention order | Required (timeframe not stated) | CMHC OUTPATIENT | written | 9 CSR 80-1 | |
| MO | report of abuse, neglect, and/or misuse of funds/property (parent/guardian notification) | as soon as possible, but no later than twenty-four (24) hours following the agency's notification of the alleged event | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 9 CSR 10-5 | |
| MO | Report of Complaints of Abuse, Neglect, and Misuse of Funds/Property | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | report of events | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-5 | |
| MO | reportable events/categories | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 9 CSR 10-5 | |
| MO | reportable events/categories (DBH) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 9 CSR 10-5 | |
| MO | reportable events/categories (DD) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 9 CSR 10-5 | |
| MO | Sexual abuse | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 9 CSR 10-5 | |
| MO | sexual abuse (law enforcement report) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 10-5 | |
| MO | untoward or critical incident | immediately | SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MO | Verbal abuse | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 9 CSR 10-5 | |
| MO | violations of individual rights | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 9 CSR 30-3 | |
| MS | Absence from Community Living | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | abuse and neglect (Vulnerable Persons Act / Child Abuse/Neglect Reporting) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 3 | |
| MS | abuse, neglect, or exploitation | within seven (7) calendar days of when the report was made | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 1 | |
| MS | Abuse/Neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | Accidents which require hospitalization that may be related to abuse, neglect, or exploitation, or in which the cause is unknown or unusual | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Any confirmed medication errors | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Any suspicions of or confirmed abuse, neglect, or exploitation of a person receiving services | within eight (8) hours of discovery or notification of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 24 Miss. Admin. Code Pt. 2 | |
| MS | Any type of mandatory evacuation by local authorities that affects the service location/facility | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Any vehicle accident event that involves a person receiving services | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | concerns or alleged abuse | — | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-877-210-8513 |
24 Miss. Admin. Code Pt. 1 | |
| MS | critical incidents | within 7 days post-988 contact | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | Death of a person during the provision of IDD Services | within eight (8) hours of discovery or notification of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 24 Miss. Admin. Code Pt. 2 | |
| MS | Death of a person on agency provider property, participating in an agency provider-sponsored event, or being served through a certified community living service, Crisis Residential Unit or SUD Residential Treatment program | within eight (8) hours of discovery or notification of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 24 Miss. Admin. Code Pt. 2 | |
| MS | Disaster | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | Disasters, such as fires, floods, tornadoes, hurricanes, blizzards, etc. | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | elopement | within seven (7) calendar days of when the report was made | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Elopement, unexplained, or unanticipated absence of a person receiving services | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Emergency hospitalization or emergency treatment of a person receiving services | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Emergency Room Treatment | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | Evacuation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | health and safety violations received by a regulatory agency | within 72 hours of notification | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | Incident Report (follow-up written report) | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Incidents involving injury of a person receiving services | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Incidents that Require Follow-Up | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | Incidents to Report to DMH Within 24 Hours of Incident | Within 24 Hours of Incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | Incidents to Report to DMH Within Eight (8) Hours of Discovery or Notification of Incident | Within Eight (8) Hours of Discovery or Notification of Incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | Injury | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | interruption of service | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | knowledge of violation of the DMH Principles of Ethical and Professional Conduct and/or Grounds for Disciplinary Action | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 3 | |
| MS | Medication Error | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | medication errors | within seven (7) calendar days of when the report was made | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Monthly report of all deaths occurring in or enroute to the facility | on the first day of every month | PSYCH_FACILITY | written | 24 Miss. Admin. Code Pt. 2 | |
| MS | Other (serious incident) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | previous or pending disciplinary action by any professional credentialing body or association | promptly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 3 | |
| MS | Seclusion/Restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | serious incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | Serious Incident Report | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | Suicide (Attempt or Completed) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MS | Suicide attempts on agency provider property, at an agency provider-sponsored event, or by a person being served through a community living service | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Suspected Abuse or Neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 10 | |
| MS | suspected or confirmed abuse or neglect of an individual receiving services | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 3 | |
| MS | suspected or confirmed abuse, neglect, or exploitation of a person receiving services | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 2 | |
| MS | suspicions of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 10 | |
| MS | suspicious deaths | within seven (7) calendar days of when the report was made | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | unethical or discriminatory practices | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 24 Miss. Admin. Code Pt. 3 | |
| MS | Use of physical, mechanical, or chemical restraints; use of seclusion or time-out in a community-based setting other than Crisis Residential Services | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | use of restraints, time-out, or seclusions | within seven (7) calendar days of when the report was made | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Use of seclusion or time-out in Crisis Residential Services that was not implemented properly or resulted in injury | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 24 Miss. Admin. Code Pt. 2 | |
| MS | Workplace Violence | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 24 Miss. Admin. Code Pt. 10 | |
| MT | critical incident | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT | — | ARM 37.90.4 | |
| MT | disasters or emergencies which require closure of a residence unit | within the next working day | MH_RESIDENTIAL PRTF | — | ARM 37.98.3 | |
| MT | Disasters or emergencies which require relocation of program participants or closure of the program | within the next working day | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | fire or other incident that caused significant damage to the property | within 24 hours of the incident | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | illegal contraband discovered | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | incident | within 24 hours of its occurrence | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | incident investigation written report | within two days of completion of the investigation | MH_RESIDENTIAL PRTF | written | ARM 37.99.1 | |
| MT | incident of abuse or neglect | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | incident of abuse, neglect, or exploitation of a vulnerable adult | within 24 hours of the incident | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARM 37.27.1 | |
| MT | incident of child abuse or neglect | within 24 hours of the incident | within 24 hours | MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
(866) 820-5437 |
ARM 37.27.1 | |
| MT | incident reported to the parent/legal guardian | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | known or suspected incident of child abuse or neglect | within 24 hours | MH_RESIDENTIAL PRTF |
phone
1 (866) 820-5437 |
ARM 37.98.3 | |
| MT | known or suspected incidents of abuse, neglect, or exploitation of any client | within 24 hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | ARM 37.27.1 | |
| MT | physical restraint | within one business day | MH_RESIDENTIAL PRTF | written | ARM 37.99.1 | |
| MT | report of sexual or physical abuse or neglect | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | runaways | immediately to law enforcement and within the next working day to the agency or person who placed the youth | MH_RESIDENTIAL PRTF | — | ARM 37.98.3 | |
| MT | serious incident | within one business day | MH_RESIDENTIAL PRTF | written | ARM 37.98.1 | |
| MT | serious occurrences | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT | — | ARM 37.90.4 | |
| MT | suspected child abuse or neglect | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | ARM 37.99.1 | |
| MT | violation of law or policy | Required (timeframe not stated) | MH_RESIDENTIAL PRTF |
phone
866-820-5437 |
ARM 37.99.1 | |
| MT | violation of the requirements of this subchapter | within two business days | MH_RESIDENTIAL PRTF | written | ARM 37.98.3 | |
| NC | abuse, neglect or exploitation of a child or adolescent | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | abuse, neglect or exploitation of a disabled adult | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | alleged or suspected abuse, neglect or exploitation | immediate | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | 10A NCAC 28C | |
| NC | alleged or suspected abuse, neglect or exploitation of clients | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27D | |
| NC | client death | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10A NCAC 26C | |
| NC | client death under circumstances described in G.S. 130A-383 | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 26C | |
| NC | client death within seven days of use of seclusion or restraint | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | complaint investigation issue that could result in revocation or suspension of provider's funding | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | data on the use of seclusion and physical restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27E | |
| NC | death occurring within seven days of physical restraint or seclusion | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10A NCAC 26C | |
| NC | death of a client | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | 10A NCAC 28B | |
| NC | death of a client currently receiving services | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10A NCAC 26C | |
| NC | death of a client occurring within seven days of physical restraint or seclusion | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10A NCAC 26C | |
| NC | death resulting from violence, accident, suicide or homicide | within three days | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10A NCAC 26C | |
| NC | drug administration errors and significant adverse drug reactions | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | erroneous, misleading, or otherwise unreliable information provided in a death report | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 26C | |
| NC | incident, unusual occurrence or medication error | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | incidents of actual or alleged Client Rights violations | within 30 days of the initial report of the incident [to area director]; within 90 days of the initial report of the incident [to area board] | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | issue which if substantiated by the Division of Mental Health, Developmental Disabilities and Substance Abuse Services could result in a revocation or suspension of the provider's funding | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | level II and level III incident reports | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | level II death | within 72 hours of becoming aware of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | 10A NCAC 27G | ||
| NC | level II incident (except deaths) | within 72 hours of becoming aware of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | 10A NCAC 27G | ||
| NC | level III incident | within 72 hours of becoming aware of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | 10A NCAC 27G | ||
| NC | level III incident (immediate notification) | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | level III incident involving a client death | within 72 hours of becoming aware of the incident | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | 10A NCAC 27G | ||
| NC | major physical injury (minor or incompetent adult client) | immediately | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | 10A NCAC 28C | |
| NC | medication errors (quarterly report) | quarterly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10A NCAC 27G | |
| NC | medication refusal | as promptly as possible | PSYCH_FACILITY | — | 10A NCAC 26D | |
| NC | patterns and trends in level I, level II and level III incidents (LME quarterly report) | quarterly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | reason to believe disabled adults at the facility may be abused, neglected or exploited | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 26C | |
| NC | reason to believe juveniles at the facility may be abused, neglected or exploited | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 26C | |
| NC | reportable incidents (level I, level II, and level III) | quarterly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27G | |
| NC | restrictive interventions (quarterly report) | quarterly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10A NCAC 27G | |
| NC | searches of a client or his living area (quarterly report) | quarterly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10A NCAC 27G | |
| NC | seizures of client property or property in the possession of a client (quarterly report) | quarterly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 10A NCAC 27G | |
| NC | use of a restrictive intervention | as soon as possible but within 24 hours of the next working day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27E | |
| NC | use of a restrictive intervention — notification of legally responsible person | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 27E | |
| NC | Use of Force Report | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 10A NCAC 26D | |
| NC | use of seclusion, physical restraint or isolation time-out | as soon as possible but no more than one working day after the behavior has been controlled | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 28D | |
| NC | use of seclusion, physical restraint or isolation time-out on a minor client or incompetent adult client | immediate | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 10A NCAC 28D | |
| ND | child abuse and neglect | Required (timeframe not stated) | PRTF | — | NDAC 75-03-17 | |
| ND | child's return [after elopement] | immediately | PRTF | — | NDAC 75-03-17 | |
| ND | client under the influence — notify department of transportation | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | NDAC 75-09.1-09 | |
| ND | client under the influence — notify law enforcement | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | NDAC 75-09.1-09 | |
| ND | corrective action following indicated determination of child abuse or neglect | within thirty days of receiving written notification of the determination | PRTF | written | NDAC 75-03-17 | |
| ND | critical incident | Required (timeframe not stated) | OUTPATIENT | — | NDAC 75-09.1-10 | |
| ND | critical incidents | within twenty-four hours of the critical incident | OUTPATIENT | — | NDAC 75-09.1-10 | |
| ND | death | immediately | PRTF | — | NDAC 75-03-17 | |
| ND | determination of not being in good standing by accrediting body | within five working days after the facility has learned of that determination | PRTF | — | NDAC 75-03-17 | |
| ND | determination of not being in good standing by the accrediting body | within five working days after the facility has learned of that determination | PRTF | — | NDAC 75-03-17 | |
| ND | diversion | Required (timeframe not stated) | OUTPATIENT | — | NDAC 75-09.1-10 | |
| ND | elopement of children | immediately | PRTF | — | NDAC 75-03-17 | |
| ND | hospitalization | immediately | PRTF | — | NDAC 75-03-17 | |
| ND | incident | immediately or no more than twelve hours | PRTF | — | NDAC 75-03-17 | |
| ND | incidents, including serious illnesses, injuries, and alleged cases of abuse or neglect | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | NDAC 75-09.1-01 | |
| ND | neglect and abuse of its patients | — | CMHC MH_PHP OUTPATIENT PSYCH_FACILITY | — | NDAC 33-13-01 | |
| ND | seclusion | within twelve hours | PRTF | — | NDAC 75-03-17 | |
| ND | sentinel event | immediately or no more than twelve hours | PRTF | — | NDAC 75-03-17 | |
| ND | service disruption | Required (timeframe not stated) | OUTPATIENT | — | NDAC 75-09.1-10 | |
| ND | significant change in policy or practice that would impact a certified clinic's ability to comply with this chapter | within seven business days | CCBHC | — | NDAC 75-03-44 | |
| ND | suspected child abuse or neglect | immediately | PRTF | — | NDAC 75-03-17 | |
| NE | abuse or neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 20 | |
| NE | abuse or neglect is suspected | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NE | accident or illness requiring hospitalization | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NE | client is discharged or expires | Within 48 hours after a client is discharged or expires | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 20 | |
| NE | Conviction of a felony or misdemeanor | within 30 days of an occurrence | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 206 NAC 7 | |
| NE | death | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NE | Entry on a Child and Adult Abuse and Neglect Central Registry or Sex Offender Registry | within 30 days of an occurrence | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 206 NAC 7 | |
| NE | Entry on a Child and Adult Abuse and Neglect Central Registry or Sex Offender Registry or equivalent registry | within 30 days of an occurrence | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 206 NAC 7 | |
| NE | Loss of employment due to alleged incompetence, negligence, unethical or unprofessional conduct, or impairment | within 30 days of an occurrence | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 206 NAC 7 | |
| NE | Loss of employment due to alleged incompetence, negligence, unethical or unprofessional conduct, or impairment by alcohol, drugs, controlled substances or any mind-altering substance | within 30 days of an occurrence | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 206 NAC 7 | |
| NE | major change in its program and/or facilities | before the change is made | MH_RESIDENTIAL | — | 471 NAC 32 | |
| NE | major changes in its program and/or facilities | before the change is made | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NE | monthly report of admissions and discharges | by the 15th of the following month | PSYCH_FACILITY | — | 471 NAC 32 | |
| NE | runaway children | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NE | unplanned leave of absence | immediately when the client returns | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 20 | |
| NE | use of physical restraints | within 24 hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NE | use of special treatment procedures | within 24 hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NE | use of special treatment procedures (physical restraint or locked time out) in Day Treatment | within 24 hours | MH_PHP SUD_PHP | — | 471 NAC 32 | |
| NE | use of special treatment procedures (physical restraint) | within 24 hours | MH_RESIDENTIAL PRTF | — | 471 NAC 32 | |
| NE | use of special treatment procedures (physical restraint) in Crisis Intervention Services | within 24 hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 471 NAC 32 | |
| NH | abuse, neglect, exploitation, or a rights violation by a person not employed by the area agency or program | immediately | CMHC MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | He-M 200 | |
| NH | abuse, neglect, or exploitation (upon OCLS receipt of report from non-agency person) | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | He-M 200 | |
| NH | complaint of abuse, neglect, or exploitation | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | He-M 200 | |
| NH | critical incident | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | He-A 300 | |
| NH | death occurring while an individual is in restraint or in seclusion, within 24 hours after removal from restraint or seclusion, or within one week after restraint or seclusion where it is reasonable to assume the use of restraint or seclusion contributed | no later than the close of the next business day (to CMS regional office); within 7 days (to state protection and advocacy agency) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | phone | He-M 300 | |
| NH | death of an individual where there are or were allegations of abuse, neglect, or exploitation | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | He-M 200 | |
| NH | emergency transfer | Immediately following an emergency transfer | CMHC PSYCH_FACILITY | written | He-M 600 | |
| NH | incident report | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_RESIDENTIAL | written | He-M 200 | |
| NH | injury or death of a child subject to seclusion or restraint as part of emergency treatment | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | He-M 300 | |
| NH | medication error | within 24 hours | CMHC MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | He-M 1200 | |
| NH | medication refusal | within 24 hours | CMHC MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | He-M 1200 | |
| NH | notification pursuant to RSA 126-U:7 and 126-U:10 | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | He-M 300 | |
| NH | pattern of noncompliance | within 5 business days | CMHC MH_RESIDENTIAL OUTPATIENT SUD_RESIDENTIAL | written | He-M 1200 | |
| NH | sentinel event | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | He-A 300 | |
| NH | terminations of service | Required (timeframe not stated) | CMHC | — | He-M 400 | |
| NH | use of restraint or seclusion (child) - notification to parent or guardian | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | He-M 300 | |
| NJ | abuse or exploitation in rooming/boarding/nursing homes | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | § 10:37-6.108 - Unusual incident reporting system | |
| NJ | allegation of child abuse and/or neglect | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | § 10:37-6.108 - Unusual incident reporting system | |
| NJ | alleged or suspected crimes that endanger the life or safety of clients or staff or which jeopardize facility operations or fiscal stability | immediately | SUD_RESIDENTIAL |
email
dmhas.incidentrept@dhs.state.nj.us 609-341-2324 |
§ 10:161B-3.8 - Reportable events | |
| NJ | Case and Status Reporting of Cases and Suspects | on a quarterly basis; changes reported as they occur | OUTPATIENT SUD_IOP SUD_RESIDENTIAL |
609-588-7522 |
Appendix A - , version 21 | |
| NJ | complaints or allegations of abuse and/or neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | § 10:37-4.6 - Client complaint/agency ombuds procedure | |
| NJ | criminal convictions or disciplinary sanctions imposed on staff, board members or representatives of the governing authority by licensing or credentialing boards | immediately | SUD_RESIDENTIAL |
email
dmhas.incidentrept@dhs.state.nj.us 609-341-2324 |
§ 10:161B-3.8 - Reportable events | |
| NJ | deaths of clients under the supervision of the facility or deaths known or suspected of resulting from misuse of medications prescribed or dispensed by the program | immediately | SUD_RESIDENTIAL |
email
dmhas.incidentrept@dhs.state.nj.us 609-341-2324 |
§ 10:161B-3.8 - Reportable events | |
| NJ | deficiencies jeopardizing client or staff safety | verbally reported immediately, with written correspondence provided within five working days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 10:161B-21.2 - Quality assurance activities | |
| NJ | disciplinary actions of staff, including termination, resulting from inappropriate staff interaction with clients | immediately | SUD_RESIDENTIAL |
email
dmhas.incidentrept@dhs.state.nj.us 609-341-2324 |
§ 10:161B-3.8 - Reportable events | |
| NJ | emergency notification | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP | — | § 10:161B-15.1 - Emergency plans and procedures | |
| NJ | emergency situations resulting from either internal or external incidents or natural disasters | immediate | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | § 10:161B-1.7 - Qualifications and responsibilities of the administrator of the facility | |
| NJ | fires, floods, disasters, accidents, or other unanticipated events which result in serious injury or death of clients or staff, or evacuation of clients from the facility, or closure of the facility for six or more hours | immediately | SUD_RESIDENTIAL |
email
dmhas.incidentrept@dhs.state.nj.us 609-341-2324 |
§ 10:161B-3.8 - Reportable events | |
| NJ | medication product defects | Required (timeframe not stated) | SUD_RESIDENTIAL |
http://www.usp.org/ |
§ 10:161B-14.2 - Standards for drug administration | |
| NJ | non-emergency closures | at least 48 hours before closing | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | § 10:161B-1.7 - Qualifications and responsibilities of the administrator of the facility | |
| NJ | occurrence of all infections or diseases which are reportable in accordance with N.J.A.C. 8:57, Communicable Diseases | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP | — | § 10:161B-19.1 - Infection prevention and control | |
| NJ | outbreaks of communicable disease or other conditions adversely affecting multiple clients and/or staff | immediately | SUD_RESIDENTIAL |
email
dmhas.incidentrept@dhs.state.nj.us 609-341-2324 |
§ 10:161B-3.8 - Reportable events | |
| NJ | possible TB exposure | immediately | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | Appendix A - , version 21 | |
| NJ | Results of Follow-up as a Result of Post-Exposure to Active TB Case | within three weeks after the interview is completed | OUTPATIENT SUD_IOP SUD_RESIDENTIAL |
609-588-7522 |
Appendix A - , version 21 | |
| NJ | unusual incident | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | § 10:37-6.108 - Unusual incident reporting system | |
| NJ | violations presenting an imminent threat to the health or safety of a consumer | within 48 hours | MH_RESIDENTIAL | written | § 10:37A-12.10 - Inspection and monitoring of residences | |
| NM | absence of clients without permission | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | abuse, neglect, exploitation, and injuries of unknown origin and other reportable incidents | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 8.321.11 NMAC | |
| NM | accreditation lapse or formal/informal finding of need for improvement | within two business days of such event | OUTPATIENT | — | 8.321.10 NMAC | |
| NM | acts of physical harm to a client by staff or other clients | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | adverse reactions to medications | Required (timeframe not stated) | CMHC | — | 8.321.6 NMAC | |
| NM | allegations of abuse or neglect | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7.20.11 NMAC | |
| NM | charged and/or convicted of a felony or misdemeanor involving moral turpitude | immediately | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | client death | by no later than by the close of business the next business day after the client's death | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7.20.11 NMAC | |
| NM | complaints or allegations of abuse, neglect or exploitation | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7.20.11 NMAC | |
| NM | death of a client | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | death of any client | by no later than close of business the next business day after the client's death | MH_RESIDENTIAL PRTF | — | 7.20.11 NMAC | |
| NM | deaths | immediately by telephone and followed by fax within 24 hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 7.20.11 NMAC | |
| NM | emergency service | Required (timeframe not stated) | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | exceed licensed capacity due to emergency placements | within one business day of the event | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | felony or misdemeanor involving moral turpitude (staff charged and/or convicted) | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7.20.11 NMAC | |
| NM | fire, flood or other man-made or natural disasters | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 8.321.11 NMAC | |
| NM | fire, flood, or other natural disaster which creates structural damages to the facility or poses health hazards | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | high-risk situations and critical incidents | within 24 hours | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 8.321.11 NMAC | |
| NM | human act(s) by staff member(s) which results in the serious illness, injury, or physical and/or psychological impairment of a client | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | human act(s) by staff members which presents or poses possible physical and/or psychological health hazards | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | human errors by staff and employees which may or has resulted in the death, serious illness, hospitalization, or physical impairment of a client or staff | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 8.321.11 NMAC | |
| NM | incident | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 8.321.11 NMAC | |
| NM | incidents | Required (timeframe not stated) | CMHC | — | 8.321.6 NMAC | |
| NM | non-informational call made to poison control involving potential harm to a client or resulting in treatment of a client | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | notifiable disease | Required (timeframe not stated) | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | outbreak of contagious disease dangerous to the public health | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | outbreak of contagious diseases and diseases dangerous to the public health | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 8.321.11 NMAC | |
| NM | outcomes, dispositions, and descriptions of any voluntary corrective action(s) taken in response to serious incidents | in a timely manner | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | fax | 7.20.11 NMAC | |
| NM | required reporting to staff and public health authorities | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | 7.20.11 NMAC | |
| NM | serious incident | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7.20.11 NMAC | |
| NM | serious incident involving possible criminal activity | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7.20.11 NMAC | |
| NM | serious incident or alleged serious incident | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 7.20.11 NMAC | |
| NM | serious incident or unusual occurrence | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | serious incident reports | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 7.20.11 NMAC | |
| NM | serious incidents | within 24 hours of any staff member becoming aware of the incident or allegation of incident | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | fax | 7.20.11 NMAC | |
| NM | serious incidents or unusual occurrences | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 8.321.11 NMAC | |
| NM | suspected client abuse, neglect or exploitation | within 24 hours | MH_PHP MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 7.20.12 NMAC | |
| NM | suspected or alleged abuse or neglect of a child or an incapacitated or vulnerable adult | Required (timeframe not stated) | OUTPATIENT | — | 8.321.10 NMAC | |
| NM | theft or diversion of medication | Required (timeframe not stated) | OUTPATIENT | — | 8.321.10 NMAC | |
| NV | abuse and neglect of consumers | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | NAC 433 | |
| NV | abuse or neglect of a consumer | Verbally, not later than 1 hour after the employee or contractor becomes aware of the abuse or neglect; and in writing, not later than 24 hours after the employee or contractor becomes aware of the abuse or neglect | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | NAC 433 | |
| NV | certain events | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | NAC 449 | |
| NV | change in ownership, address or staff | — | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | NAC 449 | |
| NV | escapes, injuries or other problems that occurred during the transport | quarterly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | NAC 433 | |
| NV | fire or disaster | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | NAC 449 | |
| NV | grievance, complaint or report of incident | Required (timeframe not stated) | MH_RESIDENTIAL | — | NAC 449 | |
| NV | incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | NAC 449 | |
| NV | incident that may cause imminent danger to the health or safety of the clients, participants or staff of the program, or a visitor to the program | within 24 hours after the occurrence | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | NAC 458 | |
| NV | notification of occurrence of certain incidents | Required (timeframe not stated) | SUD_RESIDENTIAL | — | NAC 449 | |
| NV | notification to Bureau under certain circumstances | Required (timeframe not stated) | SUD_RESIDENTIAL | — | NAC 449 | |
| NV | problems concerning administration of drug to resident and misuses and losses of controlled substances | Required (timeframe not stated) | PRTF | — | NAC 449 | |
| NV | report of suspected abuse, neglect, isolation or exploitation | Required (timeframe not stated) | MH_RESIDENTIAL | — | NAC 449 | |
| NV | reporting of fire or disaster | Required (timeframe not stated) | SUD_RESIDENTIAL | — | NAC 449 | |
| NV | resident has been abused or neglected | Required (timeframe not stated) | PRTF | — | NAC 449 | |
| NY | abuse (improper use of medication) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | abuse or neglect | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | abuse or neglect (board of visitors — investigation results) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.6 - Notifications | |
| NY | abuse or neglect (final investigative report) | within 45 calendar days of the Vulnerable Persons' Central Register acceptance of a report of an allegation of abuse or neglect | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | § 524.9 - Incident investigation, corrective action, and records maintenance | |
| NY | abuse or neglect (notification of subject of report) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.5 - Reporting, recording, and investigation | |
| NY | abuse or neglect (residential/day program) | within three working days of occurrence or discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | § 624.6 - Notifications | |
| NY | abuse or neglect (results of investigation) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.6 - Notifications | |
| NY | abuse or neglect (SCR check request) | as soon as [practicable — text cut off] | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.5 - Reporting, recording, and investigation | |
| NY | administration of a prescribed or over-the-counter medication inconsistent with a prescription or order with adverse effect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | Administration of a prescribed or over-the-counter medication that is inconsistent with a prescription | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | administration of a prescribed or over-the-counter medication that is inconsistent with a prescription or order | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | admission of the prisoner to a hospital | Required (timeframe not stated) | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 18.5 - Emergency hospitalization | |
| NY | adverse drug reactions | Required (timeframe not stated) | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 680.4 - Organization and administration | |
| NY | All inpatient deaths except natural deaths | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 524.14 - Special Investigations | |
| NY | allegation of abuse or neglect | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
phone
1-855-373-2122 |
§ 524.9 - Incident investigation, corrective action, and records maintenance | |
| NY | allegation of abuse or neglect (delayed reporting) | no more than twenty-four (24) hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
14 NYCRR Part 836 | |
| NY | Allegations of abuse | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 524.14 - Special Investigations | |
| NY | allegations of abuse and neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
phone
1-855-373-2122 |
§ 524.2 - Legal base | |
| NY | allegations of abuse or neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
phone
1-855-373-2122 |
§ 524.2 - Legal base | |
| NY | allegations of abuse or neglect, missing patients or incidents involving patient death or injury | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
phone
1-855-373-2122 |
§ 524.12 - Other required notifications | |
| NY | alleged violations of policies prohibiting mistreatment, neglect or abuse of an individual | within 24 hours | PSYCH_FACILITY |
phone
1-855-373-2122 |
§ 680.4 - Organization and administration | |
| NY | alterations planned in a leased building which affect or could affect the usability of any part of the facility or limit program accessibility | Required (timeframe not stated) | MH_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 595.5 - Certification | |
| NY | anticipated or actual termination of any service vital to the continued safe operation of the facility or the health of persons receiving services | immediately | CMHC MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 635-7.3 - Safety and welfare requirements for all facilities (except for family care homes and individualized residential alternatives [IRAs] housing eight or fewer persons) | |
| NY | anticipated or actual termination of any service vital to the continued safe operation of the home or IRA or the health of persons receiving services | immediately | MH_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 635-7.4 - Family care homes and individualized residential alternatives (IRAs) for eight or fewer persons | |
| NY | appearance that a crime may have been committed | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.2 - Legal base | |
| NY | appearance that a crime may have been committed against a patient | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | phone | § 524.2 - Legal base | |
| NY | Assault | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | autopsy report | within 60 working days of the report made to the Justice Center | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.11 - Patient Death reporting | |
| NY | autopsy results (death not under auspices of agency) | within sixty working days of discovery of the death | CMHC OUTPATIENT | portal | § 625.5 - Agency and OPWDD involvement in deaths that are not under the auspices of the agency | |
| NY | autopsy results following death | within sixty working days of discovery of the death | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.5 - Reporting, recording, and investigation | |
| NY | Aversive conditioning | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 524.5 - Incident category definitions | |
| NY | body cavity search | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | catastrophe | immediately | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 690.4 - Issuance of operating certificate | |
| NY | catastrophe that impacts the family care home | immediately | MH_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 585.4 - Operating certificates | |
| NY | certain incidents | 24-hour | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | phone | § 524.2 - Legal base | |
| NY | change of the hospital's accreditation organization | immediately | PSYCH_FACILITY | written | § 553.5 - Deemed status | |
| NY | child abuse or neglect | Required (timeframe not stated) | CMHC |
phone
1-855-373-2122 |
§ 512.9 - Organization and administration | |
| NY | Choking, with known risk | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Choking, with no known risk | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | client's death in an inpatient or residential program | immediate notification | MH_RESIDENTIAL SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | colleague's impairment or misconduct which may interfere with treatment effectiveness and place service recipients and others at risk | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 853 | |
| NY | colleague's impairment, Code of Conduct violations or misconduct which may interfere with treatment effectiveness and place service recipients and others at risk | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 853 | |
| NY | communicable disease | Required (timeframe not stated) | CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 825 | |
| NY | communication indicating the accrediting organization will recommend non-accreditation, non-renewal, or termination of accreditation | immediately | PSYCH_FACILITY | written | § 553.5 - Deemed status | |
| NY | Conduct between persons receiving services that would constitute abuse | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.3 - Reportable incidents, defined | |
| NY | Crime | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | crime committed against a person receiving services | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.8 - Incident reporting procedures | |
| NY | crime committed against an individual by a custodian | as soon as practicable, but in no event later than 24 hours after occurrence or discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.6 - Notifications | |
| NY | crime committed against an individual by a custodian (IRMA entry) | within 24 hours of the report being made | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.6 - Notifications | |
| NY | crime committed against any custodian or service recipient | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | Crimes in the Community | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | death (all deaths reported to the Justice Center) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.5 - Reporting, recording, and investigation | |
| NY | death (initial IRMA report to OPWDD) | within twenty-four hours of discovery of the death, or by close of the next working day, whichever is later | CMHC OUTPATIENT | portal | § 625.5 - Agency and OPWDD involvement in deaths that are not under the auspices of the agency | |
| NY | death for which there is any reason to believe that abuse or neglect may be involved | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | phone | § 524.8 - Incident reporting procedures | |
| NY | death of a custodian or mandated reporter during the course of his/her job duties | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | death of a patient | immediately upon discovery of the death, and in no event later than 24 hours thereafter | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.11 - Patient Death reporting | |
| NY | death of a patient resulting from an apparent homicide, suicide, or unexplained or accidental cause | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.11 - Patient Death reporting | |
| NY | death of a patient which is related to the lack of treatment provided in accordance with generally accepted medical standards | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.11 - Patient Death reporting | |
| NY | death of a patient which is unrelated to the natural course of illness or disease | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.11 - Patient Death reporting | |
| NY | death of a person | immediately | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 680.4 - Organization and administration | |
| NY | death of an individual that occurred under the auspices of an agency | within 50 days of the VPCR and/or OPWDD accepting such report | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | death of an outpatient client | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | death of any individual who had received services certified, operated, or funded by OPWDD within thirty days, and the death did not occur under the auspices of any agency (initial telephone report to OPWDD) | immediately upon discovery | CMHC OUTPATIENT | phone | § 625.5 - Agency and OPWDD involvement in deaths that are not under the auspices of the agency | |
| NY | death of any individual who had received services operated or certified by OPWDD | immediately upon discovery and in no case more than twenty-four hours after discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 624.5 - Reporting, recording, and investigation | |
| NY | death of any individual who had received services operated or certified by OPWDD within thirty days preceding his or her death, and the death did not occur under the auspices of any agency | immediately upon discovery and in no case more than twenty-four hours after discovery | CMHC OUTPATIENT |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 625.5 - Agency and OPWDD involvement in deaths that are not under the auspices of the agency | |
| NY | death of service recipient | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | death that occurs while a patient is restrained or in seclusion | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 526.4 - Restraint and seclusion | |
| NY | deaths of individuals in their care | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.2 - Legal base | |
| NY | decision by the hospital to terminate its agreement with its accrediting organization | immediately | PSYCH_FACILITY | written | § 553.5 - Deemed status | |
| NY | defendant not complying with conditions specified in the order | Required (timeframe not stated) | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 541.8 - Release order | |
| NY | Deliberate inappropriate use of restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | deliberate inappropriate use of restraints | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 14 NYCRR Part 836 | |
| NY | discharge from an intensive case management, supportive case management or blended ICM/SCM program | Prior to discharge | CMHC OUTPATIENT |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 506.11 - Individuals enrolled in assisted outpatient treatment | |
| NY | discharge of patient held pursuant to Family Court order | immediate | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 37.1 - Patients held pursuant to the family court act | |
| NY | each use of a time-out room | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | each use of an as-needed medication when used in conjunction with a restrictive physical intervention technique | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | each use of an emergency medication to control challenging behavior | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | emergency requiring law enforcement response | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.6 - Notifications | |
| NY | emergency use of medication to control challenging behavior or acute symptoms (notification to surrogate/service coordinator/clinician) | within the next two business days | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | emergency use of medication to control challenging behavior or acute symptoms of a co-occurring diagnosed psychiatric disorder | within the next two business days | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | escape | immediately | PSYCH_FACILITY | phone | § 541.12 - Escape | |
| NY | event that is, or appears to be, a crime | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | failure to meet staffing requirements | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 857.7 - General Program Standards | |
| NY | failure to provide requested data, records or information | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | Falls by patients | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Fight | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Fights | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.7 - Incident reporting requirements | |
| NY | Financial exploitation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 524.5 - Incident category definitions | |
| NY | findings of a report of abuse or neglect | within 10 days after completion of the investigation if the investigation was completed by the agency; or within 10 days after the agency receives notice of the results of an investigation conducted by the Central Office of OPWDD or the Justice Center | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | § 624.6 - Notifications | |
| NY | Fire setting | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Firesetting | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.7 - Incident reporting requirements | |
| NY | health care associated infections | immediately | CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 825 | |
| NY | health problem which results in the person being admitted to a hospital | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.10 - Care and treatment | |
| NY | health problem which results in the person being served in an emergency room or urgent care center | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.10 - Care and treatment | |
| NY | health problem which results in the person being unable to participate in scheduled activities for seven or more days | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.10 - Care and treatment | |
| NY | Homicide and suicide attempts by inpatients | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 524.14 - Special Investigations | |
| NY | immediate protections | within 24 hours after the action is taken or by the close of the next working day, whichever is later | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | immediate written notice of patient not appropriate for admission | immediately | PSYCH_FACILITY | written | § 517.4 - Transfer by order | |
| NY | impending termination of custody | at or shortly before the termination of your period of custody | SUD_RESIDENTIAL |
phone
(212) 765-0525 |
Appendix 104-B | |
| NY | Inappropriate use of restraints | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | incapacity of prisoner | Required (timeframe not stated) | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 18.9 - Notification to court of incapacity of prisoner | |
| NY | incident (in funded but not certified or licensed programs) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | incident involving a client | within twenty-four (24) hours of the initial report | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 14 NYCRR Part 836 | |
| NY | incident management program | Required (timeframe not stated) | MH_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 589.10 - Quality assurance | |
| NY | incident reporting | Required (timeframe not stated) | MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 595.6 - Organization and administration | |
| NY | incident reporting and review | Required (timeframe not stated) | SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 819 | |
| NY | incidents | timely | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 680.4 - Organization and administration | |
| NY | incidents (primary care) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 598.11 - Quality assurance, utilization review and incident reporting | |
| NY | incidents involving patients receiving mental health services | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 598.11 - Quality assurance, utilization review and incident reporting | |
| NY | incidents involving patients receiving substance use disorder services | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 598.11 - Quality assurance, utilization review and incident reporting | |
| NY | incidents of alleged child abuse or maltreatment | immediately | PSYCH_FACILITY | written | § 582.5 - Organization and administration | |
| NY | incidents reported only to the Office | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.9 - Incident investigation, corrective action, and records maintenance | |
| NY | Injury of unknown origin | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 524.5 - Incident category definitions | |
| NY | Injury, with hospital admission | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Inpatient assaults resulting in serious injury to any person, including sexual assaults | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 524.14 - Special Investigations | |
| NY | Inpatient homicides | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 524.14 - Special Investigations | |
| NY | Inpatient suicides | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 524.14 - Special Investigations | |
| NY | intention to terminate voluntarily the operation of the residential program | at least 90 days prior to termination of operation | MH_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 595.5 - Certification | |
| NY | investigation of abuse or neglect (final report, delegated) | no later than fifty (50) days after the Justice Center accepts the initial report of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 14 NYCRR Part 836 | |
| NY | mandatory reporting of child abuse or neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF |
phone
1-855-373-2122 |
§ 599.6 - Organization and administration | |
| NY | mandatory reporting of death | Required (timeframe not stated) | MH_RESIDENTIAL PRTF |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 595.6 - Organization and administration | |
| NY | mandatory reporting of deaths | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 599.6 - Organization and administration | |
| NY | Medication error | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Medication errors | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.7 - Incident reporting requirements | |
| NY | medication errors and drug reactions | immediately | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 680.4 - Organization and administration | |
| NY | minor notable occurrence | within 48 hours of occurrence or discovery or by close of the next working day, whichever is later | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | minor notable occurrence — injury (on and after January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | minor notable occurrence — theft or financial exploitation (on and after January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | minor notable occurrences | within 48 hours upon occurrence or discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.5 - Reporting, recording, and investigation | |
| NY | missing client | immediately after a reportable incident is discovered | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | phone | 14 NYCRR Part 836 | |
| NY | Missing patient | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Missing patients of inpatient programs | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 524.14 - Special Investigations | |
| NY | Missing person | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Missing person at risk for injury | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Missing subject of AOT Order | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Mistreatment | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.3 - Reportable incidents, defined | |
| NY | notable occurrence | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | notable occurrence — choking, with no known risk (serious notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — death (serious notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — ICF violations (serious notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — injury (minor notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — injury (serious notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — sensitive situations (serious notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — theft and financial exploitation (minor notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — theft and financial exploitation (serious notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notable occurrence — unauthorized absence (serious notable occurrence, prior to January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | notice of commissioner's determination for secure placement and patient's right to object | Within 24 hours of confirming the need to admit the patient to the secure facility | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 540.6 - Placement or transfer of patients | |
| NY | notice of findings involving employees or agents of contractors | within two weeks of such notice | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.5 - Reporting, recording, and investigation | |
| NY | notice of patient's admission to receiving hospital | within three days after such admission | PSYCH_FACILITY | written | § 517.4 - Transfer by order | |
| NY | notice of transfer | at least three days prior to the transfer (for patients under 21 without required consents); no specific deadline stated for other transfers | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 17.3 - Issuance of order | |
| NY | notice or communication from CMS regarding termination from Medicare participation or deficiencies jeopardizing health and safety | immediately | PSYCH_FACILITY | written | § 553.5 - Deemed status | |
| NY | notification of a decision to withdraw or withhold life-sustaining treatment | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.10 - Care and treatment | |
| NY | notification of admission for a behavioral health condition | within two business days of such admission | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 580.11 - Managed Care Organizations | |
| NY | notification of discharge | within 24 hours of the discharge of such an individual or, for a discharge occurring on a Friday, Saturday, Sunday or public holiday, by 5:00 p.m. on the next business day following such discharge | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 580.11 - Managed Care Organizations | |
| NY | notification of patient receipt | within three days after the patient is received | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 17.3 - Issuance of order | |
| NY | notification of subject of report of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.5 - Reporting, recording, and investigation | |
| NY | Obstruction of reports of reportable incidents | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Other Incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Other mistreatment | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Other significant incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | patient death | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.9 - Incident investigation, corrective action, and records maintenance | |
| NY | patient deaths | — | OUTPATIENT SUD_IOP SUD_PHP | written | 14 NYCRR Part 822 | |
| NY | patient leaves the facility without the consent of the director | immediate | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 37.1 - Patients held pursuant to the family court act | |
| NY | patient leaves without notice or fails to return when expected from a known visit away from the facility | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 37.3 - Notices to family and others | |
| NY | patient not located within 24 hours | within 24 hours | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 37.6 - Status changes | |
| NY | patient placed on leave without consent status | immediate | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 37.1 - Patients held pursuant to the family court act | |
| NY | periodic report on need for continued retention in designated secure facility | at intervals of not more than six months | PSYCH_FACILITY | written | § 540.6 - Placement or transfer of patients | |
| NY | Physical abuse | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 624.3 - Reportable incidents, defined | |
| NY | physical, sexual, or emotional abuse; active, passive, or self neglect; or financial exploitation — Adult Protective Services notification | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 625.3 - Agency involvement in events or situations that are not under the auspices of an agency | |
| NY | physical, sexual, or emotional abuse; active, passive, or self neglect; or financial exploitation — notification to appropriate parties | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 625.3 - Agency involvement in events or situations that are not under the auspices of an agency | |
| NY | placed under arrest or is charged with a crime | — | — | — | § 687.8 - Duties of family care providers | |
| NY | plan of prevention and remediation for substantiated reports of abuse or neglect | by the close of the fifth working day after the development of the plan | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | prevention of new admissions | Required (timeframe not stated) | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 590.8 - Admission and discharge procedures | |
| NY | prevention of new presentations | Required (timeframe not stated) | OUTPATIENT |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 600.7 - Organization and administration | |
| NY | prisoner's need for hospitalization | immediately | PSYCH_FACILITY | written | § 18.3 - Notification to appropriate director of prisoner's need for hospitalization | |
| NY | Psychological abuse | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 624.3 - Reportable incidents, defined | |
| NY | qualifications of director and staff physicians | at the time of their employment | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 580.7 - Staffing | |
| NY | receipt of notice of failure to be accredited, re-accredited or the loss of accreditation | immediately | PSYCH_FACILITY | written | § 553.5 - Deemed status | |
| NY | reclassified incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | report of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | report of death | within five working days of the discovery of the death | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | Report of Death (subsequent information to Justice Center) | within five working days of discovery of the death | CMHC OUTPATIENT | portal | § 625.5 - Agency and OPWDD involvement in deaths that are not under the auspices of the agency | |
| NY | Report of Death (subsequent information to OPWDD) | within five working days following discovery of the death | CMHC OUTPATIENT | portal | § 625.5 - Agency and OPWDD involvement in deaths that are not under the auspices of the agency | |
| NY | reportable incident | immediately | immediately after a reportable incident is discovered | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 635-10.5 - Reimbursement of HCBS waiver services | |
| NY | Reportable Incident — initial incident report | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | § 524.8 - Incident reporting procedures | |
| NY | reportable incident (improper use of time-out room) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | reportable incident (occurring in a facility certified or operated by OPWDD) — mandated reporter duty | upon discovery | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 625.3 - Agency involvement in events or situations that are not under the auspices of an agency | |
| NY | reportable incident (occurring under auspices of another OPWDD-certified/operated agency) | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 625.3 - Agency involvement in events or situations that are not under the auspices of an agency | |
| NY | reportable incident involving a client (family/significant other notification) | immediately after an incident is discovered | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 14 NYCRR Part 836 | |
| NY | Reportable Incident involving injury, death, medication error, missing person, or allegation of abuse or neglect | within 24 hours of the initial report of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | phone | § 524.12 - Other required notifications | |
| NY | reportable incident or notable occurrence (occurring in a facility subject to another State Agency's oversight) | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 625.3 - Agency involvement in events or situations that are not under the auspices of an agency | |
| NY | reportable incident or occurrence | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.6 - Notifications | |
| NY | reportable incident or serious reportable incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | reportable incidents | immediately upon occurrence or discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 704.8 - Alternative requirements | |
| NY | reportable incidents (IRMA entry) | within 24 hours of occurrence or discovery or by close of the next working day, whichever is later | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | reportable incidents (IRMA review after VPCR report) | within 24 hours of occurrence or discovery of the incident or by close of the next working day, whichever is later | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | reportable incidents and notable occurrences (service coordinator notification) | within 24 hours of the completion of the initial incident/occurrence report (for minor notable occurrences) or entry of initial information in IRMA | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.6 - Notifications | |
| NY | reportable incidents and occurrences | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.6 - Notifications | |
| NY | reportable incidents and serious notable occurrences | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.5 - Reporting, recording, and investigation | |
| NY | reportable or significant incident (director alleged as perpetrator) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | reporting updates for reportable incidents and serious notable occurrences | on at least a monthly basis, or more frequently as requested by OPWDD | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | request for check of Statewide Central Register of Child Abuse and Maltreatment (SCR) | as soon as the information required to make the request is known or discovered | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.5 - Reporting, recording, and investigation | |
| NY | research projects placing patients at risk | prior to initiation of the project | MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 815 | |
| NY | resignation or termination of subject under investigation for abuse or neglect | promptly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.6 - Notifications | |
| NY | results of each investigation of alleged violation | within 24 hours of the report of the alleged violation | PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 680.4 - Organization and administration | |
| NY | results substantively different from intended effect, and any adverse side effects (of as-needed medication) | immediately (to prescriber); no later than the next business day (to program planning team) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | Seclusion | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Self-abuse | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Self-abusive behavior, with injury | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | serious illness or serious injury | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 27.5 - Medical care and treatment | |
| NY | serious notable occurrence | within 24 hours of occurrence or discovery or by close of the next working day, whichever is later | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | serious notable occurrence — death (on and after January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | serious notable occurrence — sensitive situations (on and after January 1, 2016) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.4 - Notable occurrences, defined | |
| NY | serious notable occurrences | immediately upon occurrence or discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.5 - Reporting, recording, and investigation | |
| NY | serious notable occurrences (IRMA entry) | within 24 hours of occurrence or discovery or by close of the next working day, whichever is later | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | Severe adverse drug reaction | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Sexual abuse | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 624.3 - Reportable incidents, defined | |
| NY | Sexual assault | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 524.5 - Incident category definitions | |
| NY | Sexual contact between children | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 524.5 - Incident category definitions | |
| NY | Significant incident | within 45 calendar days of acceptance by the Vulnerable Persons' Central Register | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal, written
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | significant incident (final report, delegated) | within sixty (60) days after the Justice Center accepts the initial report of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 14 NYCRR Part 836 | |
| NY | significant incidents | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.2 - Legal base | |
| NY | Statistical information | Required (timeframe not stated) | SUD_RESIDENTIAL | written | 14 NYCRR Part 817 | |
| NY | submission of investigative records for abuse or neglect and death | within 50 days of the VPCR and/or OPWDD accepting such report | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 624.5 - Reporting, recording, and investigation | |
| NY | Suicide attempt | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | Suicide attempt, Off Site | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | suicides, homicides, accidental deaths, or deaths due to suspicious, unusual, or unnatural circumstances | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 624.6 - Notifications | |
| NY | suicides, homicides, accidental deaths, or deaths due to suspicious, unusual, or unnatural circumstances (written follow-up) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | § 624.6 - Notifications | |
| NY | suspected abuse or neglect by a caretaker | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
phone
1-855-373-2122 |
§ 524.2 - Legal base | |
| NY | Suspected abuse or neglect of persons under age 18 by a parent, guardian, or caretaker | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
phone
1-855-373-2122 |
§ 524.12 - Other required notifications | |
| NY | suspected child abuse | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
14 NYCRR Part 853 | |
| NY | suspected child abuse or maltreatment | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | § 625.3 - Agency involvement in events or situations that are not under the auspices of an agency | |
| NY | suspected or confirmed case of active pulmonary tuberculosis | within 24 hours | CMHC MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.14 - Procedures for the control of tuberculosis | |
| NY | suspected or confirmed child abuse or maltreatment | Required (timeframe not stated) | CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP |
phone
1-855-373-2122 |
14 NYCRR Part 825 | |
| NY | suspected or confirmed domestic violence | Required (timeframe not stated) | CMHC MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP |
phone
1-855-373-2122 |
14 NYCRR Part 825 | |
| NY | temporary transfer without order for court hearings | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 17.4 - Approval of transfer without order | |
| NY | Theft and financial exploitation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | theft or loss of approved medications | immediately | OUTPATIENT SUD_IOP SUD_PHP |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 822 | |
| NY | transfer of patient held pursuant to Family Court order | immediate | MH_RESIDENTIAL PRTF PSYCH_FACILITY | written | § 37.1 - Patients held pursuant to the family court act | |
| NY | transfer without order for special medical or surgical care | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 17.4 - Approval of transfer without order | |
| NY | transfer without order notification to Mental Health Information Service | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 17.4 - Approval of transfer without order | |
| NY | Unauthorized absence | immediately upon discovery of an absence involving a person whose absence constitutes a recognized potential danger | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | unauthorized seclusion | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | Unauthorized use of time-out | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | unethical conduct or practice on the part of any agency or individual providing prevention services | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 853 | |
| NY | Unlawful use or administration of a controlled substance | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 624.3 - Reportable incidents, defined | |
| NY | Unlawful use or administration of controlled substance | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.7 - Incident reporting requirements | |
| NY | use of a restrictive physical intervention technique | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | use of a time-out room (in accordance with behavior support plan) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | use of an emergency medication to control challenging behavior | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | § 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | use of any intermediate or restrictive physical intervention technique in an emergency (physical abuse) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | Use of aversive conditioning | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 624.3 - Reportable incidents, defined | |
| NY | use of intermediate or restrictive physical intervention technique in an emergency | within two business days after the intervention technique has been used | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | use of intermediate or restrictive physical intervention technique in an emergency (guardian/family notification) | within two business days after the intervention has been used | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | use of intermediate or restrictive physical intervention technique not in conformance with requirements | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | use of medication not in conformance with this paragraph (abuse) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
1-855-373-2122 |
§ 633.16 - Protection of Individuals Receiving Services in Facilities Operated and/or Certified by OPWDD | |
| NY | use of restraint and/or seclusion | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 526.4 - Restraint and seclusion | |
| NY | Verbal Aggression by Patients | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| NY | violation of a client's rights to confidentiality | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
14 NYCRR Part 836 | |
| NY | written report of incidents with investigation results (Willowbrook class members) | within 30 days of the incident | PSYCH_FACILITY | written | § 680.4 - Organization and administration | |
| NY | written response to Justice Center findings and recommendations | within sixty days after the agency receives a report of findings and/or recommendations from the Justice Center | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | § 624.5 - Reporting, recording, and investigation | |
| NY | Wrongful Conduct | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal, written
https://omh.ny.gov/omhweb/dqm/bqi/nimrs/ NIMRSHelp@omh.ny.gov |
§ 524.5 - Incident category definitions | |
| OH | abuse or neglect, or alleged or suspected abuse or neglect of an adult age sixty and over | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | abuse or neglect, or alleged or suspected abuse or neglect of any child or adolescent | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | abuse, neglect, or exploitation; alleged or suspected abuse, neglect, or exploitation; or alleged crime against an elderly person | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | acute illness, accident, nursing facility admission, or hospitalization of a resident | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | adverse action or proposed adverse action | Within seven days of receipt of notice | OUTPATIENT SUD_IOP | written | OAC 5122-40 | |
| OH | alleged crime against a child or adolescent | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | changes in its operations that affect the provider's continued compliance with the department's certification requirements | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 5122-25 | |
| OH | changes in the health status of residents that would require a change in facility type or referral for skilled nursing care or licensed health professional intervention | with in twenty-four hours | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | death occurring within twenty four hours after the person has been removed from restraints or seclusion | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | death that occurs while a person is restrained or in seclusion | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | death where it is reasonable to assume that a person's death may be related to or is a result of such seclusion or restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | emergency (acute illness, accident, nursing facility admission, or hospitalization) | not later than twenty-four hours after the emergency occurs | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | events that would disqualify the certified peer supporter | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-29 | |
| OH | incident notifications | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-25 | |
| OH | injury related to seclusion or restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | major unusual incident | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | written | OAC 5122-30 | |
| OH | major unusual incident (unpermitted use of seclusion, mechanical restraint, physical restraint, or transitional hold) | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | medication theft | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | medication theft by executive director | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | patient admission or discharge | Within twenty-four hours of patient admission or discharge | OUTPATIENT SUD_IOP | — | OAC 5122-40 | |
| OH | patient dual enrollment (simultaneous enrollment in multiple programs) | within seventy-two hours of such determination | OUTPATIENT SUD_IOP | phone | OAC 5122-40 | |
| OH | perceived need for interim licensure (emergency situation) | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | phone | OAC 5122-30 | |
| OH | physical injury to a client or resident that is restraint-related | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | Reportable Incident | within twenty-four hours of its discovery, exclusive of weekends and holidays | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 5122-26 | |
| OH | reportable incident — call for emergency medical services to OTP site | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | OAC 5122-40 | |
| OH | reportable incident — death of an active patient from overdose or death of former patient within five days of discharge | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | OAC 5122-40 | |
| OH | reportable incident — medication error resulting in hospitalization or permanent harm | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | OAC 5122-40 | |
| OH | reportable incident — overdose of an active patient or allegation of overdose | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | OAC 5122-40 | |
| OH | six month reportable incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 5122-26 | |
| OH | theft or loss of over-the-counter medications or prescription medication | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-29 | |
| OH | theft or significant loss of any controlled substance | upon discovery of the loss or theft | OUTPATIENT SUD_IOP | — | OAC 5122-40 | |
| OH | unlicensed status, probationary license status, or movement of current residents to a facility issued an interim license | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | unusual incidents | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-29 | |
| OH | use of seclusion or restraint (adult client) | within twenty-four hours of initiation of each episode | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | use of seclusion or restraint (minor client) | as soon as possible after the initiation of each episode; and in a PRTF the notification will occur within twenty-four hours of the intervention | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 5122-26 | |
| OH | utility service disconnection or past due notice | within one business day | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | OAC 5122-30 | |
| OH | written notification of discharge (multiple enrollment) | within seventy-two hours of the discharge | OUTPATIENT SUD_IOP | written | OAC 5122-40 | |
| OK | admission, change of medical status, or discharge of any person served | within twenty-four (24) hours of admission, change of medical status or discharge of any person served | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | OAC 450:70 | |
| OK | allegation of maltreatment | twenty-four (24) hours a day, seven (7) days a week | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
InspectorGeneral@odmhsas.org 1-405-522-4058 or 1-877-426-4058 |
OAC 450:15 | |
| OK | assessment data | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | OAC 450:21 | |
| OK | assessment report to the court | within seventy-two (72) hours of completing an assessment | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | OAC 450:21 | |
| OK | consumer abuse | immediately, not to exceed twenty-four (24) hours of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:1 | |
| OK | consumer complaints or finding of potential irregularity related to the management of consumer personal funds | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:15 | |
| OK | criminal activity alleged | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:15 | |
| OK | critical incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:1 | |
| OK | critical incident report | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
fax
(405) 522-0236 |
OAC 450:15 | |
| OK | critical incident report for alleged occurrence of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 450:15 | |
| OK | critical incident reports | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:17 | |
| OK | critical incidents involving allegations constituting a sentinel event | immediately, not to exceed twenty-four (24) hours of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:1 | |
| OK | critical incidents involving allegations constituting a sentinel event or consumer abuse | immediately via telephone or fax, but within not more than twenty-four (24) hours of the incident | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | phone | OAC 450:21 | |
| OK | critical incidents involving allegations constituting a sentinel event or consumer abuse (written follow-up) | within twenty-four (24) hours of the incident | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | written | OAC 450:21 | |
| OK | Critical Incidents or Sentinel Events | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:15 | |
| OK | critical incidents requiring hospitalization or immediate off-site medical attention | within seventy-two (72) hours of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:1 | |
| OK | critical incidents requiring medical care by a physician or nurse or follow-up attention | within seventy-two (72) hours of the incident | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:1 | |
| OK | critical incidents requiring referral to medical care by a physician or nurse or follow-up attention and incidents requiring hospitalization or immediate off-site medical attention | within seventy-two (72) hours of the incident | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | fax | OAC 450:21 | |
| OK | ethical violations | Required (timeframe not stated) | CCBHC CMHC OUTPATIENT | — | OAC 450:50 | |
| OK | evaluations for involuntary commitment review | Required (timeframe not stated) | PSYCH_FACILITY | — | OAC 450:30 | |
| OK | grievance documentation and written resolution of the grievance | within 24 hours of the written notice being delivered to the consumer | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 450:15 | |
| OK | grievances | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 450:15 | |
| OK | individual who is denied services | Required (timeframe not stated) | CCBHC | — | OAC 450:17 | |
| OK | issue(s) that may adversely affect consumer care | timely | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:15 | |
| OK | knowledge of any ADSAC assessor violations of this chapter, or of assessor terminations due to violations of this chapter | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | OAC 450:21 | |
| OK | maltreatment | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
phone
InspectorGeneral@odmhsas.org 1-405-522-4058 or 1-877-426-4058 |
OAC 450:15 | |
| OK | person served begins and leaves interim treatment | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:70 | |
| OK | professional misconduct | Required (timeframe not stated) | CCBHC CMHC OUTPATIENT | — | OAC 450:50 | |
| OK | reporting of persons receiving medication assisted opioid treatment | within twenty-four (24) hours of admission, change of medical status or discharge | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | OAC 450:70 | |
| OK | sentinel event | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:1 | |
| OK | sentinel events | no later than 30 days after the event occurred | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 450:17 | |
| OK | sexual or physical abuse | promptly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:15 | |
| OK | successful course completions | no later than seventy-two (72) hours after successful completion of the ADSAC course | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | portal | OAC 450:21 | |
| OK | temporary closure of any office providing ADSAC assessments | within thirty (30) days | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | written | OAC 450:21 | |
| OK | unusual incidents | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP | — | OAC 450:27 | |
| OK | use of mechanical restraints | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAC 450:23 | |
| OK | vacancy or replacement or other change in the status of the program sponsor or medical director | within one (1) work day | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAC 450:70 | |
| OK | violation of professional conduct | Required (timeframe not stated) | OUTPATIENT | — | OAC 450:75 | |
| OK | violation of professional conduct by a Behavioral Health Case Manager | Required (timeframe not stated) | CCBHC CMHC OUTPATIENT | — | OAC 450:50 | |
| OK | violation of professional conduct by a Certified Problem Gambling Treatment Counselor | Required (timeframe not stated) | OUTPATIENT | — | OAC 450:75 | |
| OK | violations and suspected violations | immediately | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | OAC 450:21 | |
| OK | violations and suspected violations of this chapter | immediately | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | OAC 450:21 | |
| OR | abuse | immediate | OUTPATIENT | — | OAR 309-045 | |
| OR | Abuse or neglect suspected, including unethical client and staff relationships | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | abuse or suspected abuse | immediately | OUTPATIENT |
phone
1-855-503-SAFE (7233) |
OAR 309-045 | |
| OR | abuse reporting for mentally ill or developmentally disabled | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-032 | |
| OR | action taken pursuant to ORS 426.180 through ORS 426.210 | no later than 24 hours after the action is taken | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | administration of short-acting, non-injectable, opioid antagonist medication | within 48 hours of the incident | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_PHP | written | OAR 309-040 | |
| OR | adverse test results (water quality) | Required (timeframe not stated) | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | allegation of abuse | immediately | PSYCH_FACILITY | — | OAR 309-118 | |
| OR | allegations of release of confidential information | — | OUTPATIENT | — | OAR 309-045 | |
| OR | allegations that could reasonably be expected to result in harm to the individual | Findings and mitigation strategies must be reported to the Division | OUTPATIENT | — | OAR 309-045 | |
| OR | alleged abuse | Required (timeframe not stated) | MH_RESIDENTIAL | — | OAR 309-035 | |
| OR | alleged abuse or death of an individual | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | alleged or actual abuse of the resident | immediately | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | alternative placement in a non-OHA approved correctional setting | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | OAR 309-033 | |
| OR | alternative placement when no OHA-approved facility will admit the person | immediately | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | OAR 309-033 | |
| OR | arrest for or conviction of a misdemeanor or felony crime | — | — | — | OAR 415-065 | |
| OR | child abuse reports | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | — | OAR 309-022 | |
| OR | client abuse | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | client determined to be in need of specialized services and these services are not being provided | within 72 hours | PSYCH_FACILITY | — | OAR 309-048 | |
| OR | Community Restoration Status Report | Required (timeframe not stated) | CMHC | written | OAR 309-088 | |
| OR | complaints and formal complaints | within 45 days of receiving the complaint, or formal complaint | OUTPATIENT | — | OAR 309-045 | |
| OR | critical incidences | within 72 business hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAR 309-019 | |
| OR | critical incident | within 24 hours of the event | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_PHP SUD_RESIDENTIAL | written | OAR 309-033 | |
| OR | critical incident report | within 48 hours of the incident | MH_RESIDENTIAL | written | OAR 309-035 | |
| OR | critical incident reports | within 48 hours of the incident occurring | MH_RESIDENTIAL | — | OAR 309-035 | |
| OR | Critical Incidents | Within 24 hours of the event | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | death by suicide or suicide attempt occurring within 72 hours after an individual's discharge | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_PHP | written | OAR 309-073 | |
| OR | death of a resident | Required (timeframe not stated) | MH_RESIDENTIAL | — | OAR 309-035 | |
| OR | death reported as a suspected youth suicide later determined to not be a suicide | Required (timeframe not stated) | CMHC | — | OAR 309-027 | |
| OR | death that occurs while a patient is in seclusion or restraint | within 24 hours of the death | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | Death, including by suicide or overdose | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | deaths | Required (timeframe not stated) | OUTPATIENT | — | OAR 309-045 | |
| OR | each use of restraint | daily | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | elopement | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | OAR 309-033 | |
| OR | emergency room visits | Required (timeframe not stated) | OUTPATIENT | — | OAR 309-045 | |
| OR | emergency safety intervention | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | written | OAR 309-022 | |
| OR | environmental hazards | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 415-050 | |
| OR | errors, adverse reactions, or refusals of medication | within 48 hours | MH_RESIDENTIAL | — | OAR 309-035 | |
| OR | Extensive damage to the facility or other substantial change in living conditions | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | final resolution of matters leading up to or encompassed by the notice of default or notice warning of potential default | within 24 hours | MH_RESIDENTIAL | written | OAR 309-040 | |
| OR | findings of the Seclusion or Restraint Review Committee | at least quarterly | PSYCH_FACILITY | — | OAR 309-112 | |
| OR | formal complaint or report of misconduct | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | OAR 309-033 | |
| OR | fraud, waste, and abuse in the Medicaid program | Required (timeframe not stated) | OUTPATIENT |
portal
https://www.oregon.gov/oha/FOD/PIAU/Pages/Report-Fraud.aspx |
OAR 309-045 | |
| OR | grievances, complaints, events listed in these rules | quarterly | OUTPATIENT | — | OAR 309-045 | |
| OR | harassment | Required (timeframe not stated) | OUTPATIENT | — | OAR 309-045 | |
| OR | hospitalization | Required (timeframe not stated) | OUTPATIENT | — | OAR 309-045 | |
| OR | identification of an Appropriate Placement | immediately | CMHC | written | OAR 309-088 | |
| OR | Immediate Notification Report | Required (timeframe not stated) | CMHC |
written
https://www.oregon.gov/oha/HSD/AMH/Pages/Intensive.-Services.aspx |
OAR 309-088 | |
| OR | Incident (Critical incidents) | Required (timeframe not stated) | SUD_RESIDENTIAL | — | OAR 309-018 | |
| OR | incident and critical incident reporting | Required (timeframe not stated) | SUD_RESIDENTIAL | — | OAR 309-018 | |
| OR | incident of abuse or neglect | Required (timeframe not stated) | SUD_RESIDENTIAL | — | OAR 415-050 | |
| OR | incident of abuse or suspected abuse | immediately | OUTPATIENT | — | OAR 309-045 | |
| OR | Incident Report | Within 24 hours of the event | MH_IOP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_RESIDENTIAL | written | OAR 309-021 | |
| OR | incident reporting | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAR 309-019 | |
| OR | incident reports | within 48 hours of the incident occurring | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | — | OAR 309-022 | |
| OR | incident that is the result of, or suspected of being abuse | within 24 hours of occurrence | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | incidents involving the use of seclusion or restraints | Required (timeframe not stated) | MH_RESIDENTIAL | — | OAR 309-035 | |
| OR | incidents of alleged abuse | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_PHP | — | OAR 309-073 | |
| OR | incidents of personal restraint and seclusion (aggregate) | within 30 days of the end of each calendar quarter | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | written | OAR 309-022 | |
| OR | interim reports | immediate | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | OAR 309-019 | |
| OR | interim reports — major symptoms requiring psychiatric stabilization or hospitalization | immediately (by phone, if necessary) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | OAR 309-019 | |
| OR | interim reports — significant change in health, legal, employment, or other status | immediately (by phone, if necessary) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | OAR 309-019 | |
| OR | interim reports — violations of the Conditional Release Order | immediately (by phone, if necessary) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | OAR 309-019 | |
| OR | interim reports (immediate reports by phone) | immediately (by phone, if necessary) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | OAR 309-019 | |
| OR | known or suspected abuse | immediately | OUTPATIENT | — | OAR 309-045 | |
| OR | known or suspected abuse, neglect, exploitation, seclusion, or coercion of individuals | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_PHP | — | OAR 309-073 | |
| OR | law enforcement contact | immediate | OUTPATIENT | — | OAR 309-045 | |
| OR | major behavioral incident, accident, illness, hospitalization | immediately | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | mandatory abuse reporting | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAR 309-019 | |
| OR | mechanical restraint that results in injury to the person | immediate | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | OAR 309-033 | |
| OR | medication errors or discrepancies | immediate | OUTPATIENT | — | OAR 309-045 | |
| OR | missing person when a member's whereabouts are unknown | immediate | OUTPATIENT | — | OAR 309-045 | |
| OR | non-Division approved crisis intervention technique used in emergency | within 24 hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | written | OAR 309-022 | |
| OR | nonadherence to the conditions of placement | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | OAR 309-033 | |
| OR | notice of default or notice of potential default | within 10 calendar days after receipt | MH_RESIDENTIAL | written | OAR 309-040 | |
| OR | Notification of the court of hospital hold | immediately | PSYCH_FACILITY | written | OAR 309-033 | |
| OR | Notification of the court of nonhospital hold | Required (timeframe not stated) | MH_RESIDENTIAL | written | OAR 309-033 | |
| OR | occurrences of bedbugs | Required (timeframe not stated) | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | Ongoing risk to health | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | payments for patients receiving an inappropriate level of care | Required (timeframe not stated) | PSYCH_FACILITY | written | OAR 309-015 | |
| OR | person who has left the facility without lawful authority | immediately | MH_RESIDENTIAL PSYCH_FACILITY | — | OAR 309-033 | |
| OR | physical injury of unknown cause | immediately | OUTPATIENT | — | OAR 309-045 | |
| OR | Plan of Correction | within 7 Judicial Days of discovering that they have not met one or more of the requirements or at the request of the Authority | CMHC |
written
https://www.oregon.gov/oha/HSD/AMH/Pages/Intensive-Services.aspx |
OAR 309-088 | |
| OR | Police involvement | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | possible abuse | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | written | OAR 309-033 | |
| OR | post-payment receipt of funds | Required (timeframe not stated) | PSYCH_FACILITY | written | OAR 309-015 | |
| OR | relationships between individuals that result in harm or that are sexual in nature | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 415-050 | |
| OR | Relationships between individuals that result in harm to at least one individual or that are sexual in nature | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | release of a person on a hospital hold | immediately | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | release of a person on a nonhospital hold | immediately | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | report of alleged abuse | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_PHP | — | OAR 309-073 | |
| OR | Reportable Incident | within 24 hours of the incident | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | written | OAR 309-022 | |
| OR | reportable incidents | within twenty-four hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | — | OAR 309-022 | |
| OR | reportable injury arising from the use of physical restraint or seclusion | within 24 hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF SUD_RESIDENTIAL | written | OAR 309-022 | |
| OR | resident contacts or is contacted by the police | immediately | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | resident dies | immediately | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | resident gives notice or plans to leave the AFH or abruptly leaves | promptly | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | resident manager leaving during the period of the license | immediately | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | restraint | Required (timeframe not stated) | OUTPATIENT | — | OAR 309-045 | |
| OR | self-reported potentially disqualifying condition | within 24 hours | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | Serious Incident Reports | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | OAR 309-019 | |
| OR | serious injury resulting in hospitalization, urgent care or emergency room treatment | immediate | OUTPATIENT | — | OAR 309-045 | |
| OR | Severe injury | Within 24 hours of the event | SUD_RESIDENTIAL | — | OAR 415-050 | |
| OR | Severe injury, overdose resulting in hospitalization or needing medical attention, and emergency services needed | Within 24 hours of the event | SUD_RESIDENTIAL | written | OAR 309-018 | |
| OR | significant change in medical status | immediately | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | significant changes to information supplied in the application | within 14 calendar days of the change | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_PHP | — | OAR 309-073 | |
| OR | significant changes to information supplied in the application or subsequent correspondence | promptly | MH_RESIDENTIAL | — | OAR 309-035 | |
| OR | significant health risks | Required (timeframe not stated) | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | subject individual involved in a potentially disqualifying crime or potentially disqualifying condition | within 24 hours | OUTPATIENT | — | OAR 309-045 | |
| OR | substantial noncompliance | — | — | — | OAR 415-065 | |
| OR | summary of all uses of seclusion or restraint | at least monthly | PSYCH_FACILITY | — | OAR 309-112 | |
| OR | suspected abuse believed to be a crime | immediately | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_PHP | phone | OAR 309-045 | |
| OR | suspected fraud and embezzlement (central office) | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_RESIDENTIAL | — | OAR 309-013 | |
| OR | suspected fraud and embezzlement (service provider) | not later than one working day after the date the alleged activity comes to their attention | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_RESIDENTIAL | written | OAR 309-013 | |
| OR | suspected fraud or embezzlement (state institution) | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_RESIDENTIAL | — | OAR 309-013 | |
| OR | suspected youth suicide | within seven days of the death | CMHC | OAR 309-027 | ||
| OR | transfer to another hospital for medical care | immediately | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | transfer to voluntary status | within 72 hours | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | unexpected death | immediate | OUTPATIENT | — | OAR 309-045 | |
| OR | unexplained or unanticipated absence from the AFH | immediately | MH_RESIDENTIAL | — | OAR 309-040 | |
| OR | unusual incident | within five working days of the incident | MH_RESIDENTIAL | written | OAR 309-040 | |
| OR | unusual incidents | Required (timeframe not stated) | PSYCH_FACILITY SUD_IOP SUD_RESIDENTIAL | written | OAR 309-120 | |
| OR | unusual incidents relating to the resident | within five working days of the incident | MH_RESIDENTIAL | written | OAR 309-040 | |
| OR | urgent care visits | Required (timeframe not stated) | OUTPATIENT | — | OAR 309-045 | |
| OR | violation of a law or these rules | immediately | OUTPATIENT | — | OAR 309-045 | |
| OR | violation of the conditions of placement | Required (timeframe not stated) | CMHC MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY | — | OAR 309-033 | |
| OR | violation of water quality standards | Required (timeframe not stated) | MH_RESIDENTIAL | — | OAR 309-040 | |
| PA | adverse drug reaction or medication error | immediately | OUTPATIENT | — | Pa. Code 715.17 | |
| PA | allegations of resident abuse | Required (timeframe not stated) | MH_RESIDENTIAL | — | Pa. Code 5320.22 | |
| PA | allegations of violations of resident rights | Required (timeframe not stated) | MH_RESIDENTIAL | — | Pa. Code 5320.22 | |
| PA | alleged child abuse | Required (timeframe not stated) | MH_RESIDENTIAL | — | Pa. Code 5310.151 | |
| PA | death or impending death of a client | as soon as possible but within 24 hours | MH_RESIDENTIAL | — | Pa. Code 5310.38 | |
| PA | emergency | as soon as possible but within 24 hours | MH_RESIDENTIAL | — | Pa. Code 5310.38 | |
| PA | emergency transfer for acute medical treatment (section 304(g)(2) persons) | Required (timeframe not stated) | MH_PHP OUTPATIENT PSYCH_FACILITY | — | Pa. Code 5100.90 | |
| PA | escape not returned after 72 hours | right away | PSYCH_FACILITY | Pa. Code 5100.92 | ||
| PA | fire, other disaster or situation which affects the continuation of operations | within 48 hours | SUD_RESIDENTIAL | — | Pa. Code 717.30 | |
| PA | fire, other disaster or situation which affects the continuation of services | within 48 hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | Pa. Code 705.27 | |
| PA | inability to provide ordered security | immediately | PSYCH_FACILITY | — | Pa. Code 5100.91 | |
| PA | information regarding health and safety needs of dependents and security of personal property | immediately | PSYCH_FACILITY | — | Pa. Code 5100.86 | |
| PA | loss, theft or misuse of an agent or another controlled substance | Required (timeframe not stated) | OUTPATIENT | — | Pa. Code 715.17 | |
| PA | major change in person's status, including transfer, escape, major change in medical condition or discharge | Required (timeframe not stated) | PSYCH_FACILITY | — | Pa. Code 5100.86 | |
| PA | no warrant issued with reasonable probability a previous application based on same behavior had been sought; bed needed at another facility; or public funding involved | Required (timeframe not stated) | PSYCH_FACILITY | — | Pa. Code 5100.86 | |
| PA | patient returned to hospital from escape status | Required (timeframe not stated) | PSYCH_FACILITY | — | Pa. Code 5100.92 | |
| PA | person's change of status and follow-up recommendations | Required (timeframe not stated) | MH_PHP OUTPATIENT PSYCH_FACILITY | — | Pa. Code 5100.87 | |
| PA | reports to other boards and agencies — disease prevention and control | Required (timeframe not stated) | SUD_RESIDENTIAL | — | Pa. Code 717.31 | |
| PA | resident decides to end residency or does not return to the drug and alcohol recovery house as expected | immediately and in no event more than 12 hours | SUD_RESIDENTIAL | — | Pa. Code 717.27 | |
| PA | resident's hospitalization or death | Required (timeframe not stated) | SUD_RESIDENTIAL | — | Pa. Code 717.27 | |
| PA | results of examination (person not severely mentally disabled or not in need of immediate treatment) | Required (timeframe not stated) | PSYCH_FACILITY | — | Pa. Code 5100.86 | |
| PA | serious illness or injury | as soon as possible but within 24 hours | MH_RESIDENTIAL | — | Pa. Code 5310.38 | |
| PA | unauthorized absence from a mental health facility | as soon as it has been determined that a patient has left the hospital without authorization | PSYCH_FACILITY | — | Pa. Code 5100.92 | |
| PA | unplanned termination | as soon as possible but within 24 hours | MH_RESIDENTIAL | — | Pa. Code 5310.38 | |
| PA | unusual incident — death or serious injury due to trauma, suicide, medication error or unusual circumstances | within 3 business days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Pa. Code 717.31 | |
| PA | unusual incident — event at the facility requiring the presence of police, fire or ambulance personnel | within 3 business days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Pa. Code 709.34 | |
| PA | unusual incident — event requiring the presence of police, fire or ambulance personnel | within 3 business days | SUD_RESIDENTIAL | written | Pa. Code 717.31 | |
| PA | unusual incident — fire, storm, flood or other occurrence resulting in closure or relocation of residents for more than 1 day | within 3 business days | SUD_RESIDENTIAL | written | Pa. Code 717.31 | |
| PA | unusual incident — outbreak of a contagious disease requiring CDC notification | within 3 business days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Pa. Code 717.31 | |
| PA | unusual incident — physical assault or sexual assault by staff or a client | within 3 business days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Pa. Code 709.34 | |
| PA | unusual incident — physical or sexual assault by staff, a volunteer or a resident | within 3 business days | SUD_RESIDENTIAL | written | Pa. Code 717.31 | |
| PA | unusual incident — significant disruption of services due to disaster | within 3 business days | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | Pa. Code 709.34 | |
| PA | Unusual Incident Report — Complaints of patient abuse (physical, verbal, sexual and emotional) | within 48 hours | OUTPATIENT | written | Pa. Code 715.28 | |
| PA | Unusual Incident Report — Death or serious injury due to trauma, suicide, medication error or unusual circumstances | within 48 hours | OUTPATIENT | written | Pa. Code 715.28 | |
| PA | Unusual Incident Report — Drug related hospitalization of a patient | within 48 hours | OUTPATIENT | written | Pa. Code 715.28 | |
| PA | Unusual Incident Report — Incidents with potential for negative community reaction or which the facility director believes may lead to community concern | within 48 hours | OUTPATIENT | written | Pa. Code 715.28 | |
| PA | Unusual Incident Report — Significant disruption of services due to a disaster such as a fire, storm, flood or other occurrence | within 48 hours | OUTPATIENT | written | Pa. Code 715.28 | |
| PA | use of a manual restraint | Within 24 hours | MH_IOP OUTPATIENT | — | Pa. Code 5240.6 | |
| PA | violations of client rights | Required (timeframe not stated) | MH_RESIDENTIAL | — | Pa. Code 5310.11 | |
| PA | withdrawal of any publicly funded person from voluntary treatment | as soon as possible after receiving notice from the person of his intent to withdraw from treatment | PSYCH_FACILITY | — | Pa. Code 5100.76 | |
| RI | absent without permission (elopement) | Immediate notification | PRTF SUD_RESIDENTIAL | — | 212-RICR-10-10-01 | |
| RI | abuse, neglect, mistreatment or other human rights violations | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-00-1 | |
| RI | accident, injury, or death of an individual | within twenty-four (24) hours of the individual's accident, injury or death | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 212-RICR-10-00-1 | |
| RI | adverse event | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-10-01 | |
| RI | adverse event involving medications | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-10-01 | |
| RI | annual list of personnel who qualify as QMHPs | annual | CMHC | — | 212-RICR-10-10-01 | |
| RI | assault or battery committed upon an individual | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 212-RICR-10-00-1 | |
| RI | clinical staff to client ratio not met | Required (timeframe not stated) | OUTPATIENT | — | 212-RICR-10-10-01 | |
| RI | death of an individual | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-00-1 | |
| RI | death of an individual in a Department-operated community residence | within twenty-four (24) hours after the death | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-00-1 | |
| RI | emergency closing due to weather-related or other emergent conditions | Required (timeframe not stated) | OUTPATIENT | 212-RICR-10-10-01 | ||
| RI | final investigative analysis report | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 212-RICR-10-00-1 | |
| RI | Incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-00-1 | |
| RI | individual in a program abused, mistreated or neglected | within twenty-four (24) hours or by the end of the next business day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 212-RICR-10-00-1 | |
| RI | major change in organizational structure or services | Required (timeframe not stated) | MH_PHP SUD_PHP | — | 212-RICR-10-10-01 | |
| RI | medication errors | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-10-01 | |
| RI | numbers/types of incidents internally reported | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-00-1 | |
| RI | patient or resident abused, mistreated, or neglected | within twenty-four (24) hours or by the end of the next business day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 212-RICR-10-00-1 | |
| RI | physical abuse (between two people with disabilities resulting in injury requiring medical care beyond routine first aid or a series of deliberate acts) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-00-1 | |
| RI | physical location of each individual | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-00-1 | |
| RI | refusals based on physical condition determination | within forty-eight (48) hours | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 212-RICR-10-10-01 | |
| RI | serious reportable incident | within five (5) days of the incident(s), whichever occurs earlier | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 212-RICR-10-00-1 | |
| RI | theft, loss, spillage, or error in administration of a medication | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 212-RICR-10-10-01 | |
| RI | theft, suspected theft, or any loss of any opioid replacement treatment medication | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 212-RICR-10-10-01 | |
| RI | violation of civil rights, including but not limited to financial exploitation, mistreatment, neglect, and/or verbal, mental, sexual, and physical abuse, injury of unknown source, death that may have been caused by abuse or neglect, financial exploitation | within twenty-four (24) hours after an observation of an overt act, after an observation of physical harm to an individual, after receipt of an individual's oral, written, or gestured disclosure | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 212-RICR-10-00-1 | |
| RI | written recommendations to prevent further abuse, mistreatment or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 212-RICR-10-00-1 | |
| SC | abuse of children and vulnerable adults | Required (timeframe not stated) | OUTPATIENT | — | SC Reg Ch. 100 | |
| SC | accidents | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | Accidents and Incidents | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | Accidents and/or Incidents | Required (timeframe not stated) | PRTF | — | SC Reg 60-103 | |
| SC | Accounting of Controlled Substances | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | Attempted Suicide | immediately, not to exceed twenty-four (24) hours | within twenty-four (24) hours | MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | Bone fracture or joint fracture | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | Bone or joint fracture | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | change in administrator status | within seventy-two (72) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | written | SC Reg 60-125 | |
| SC | Communicable Diseases and Animal Bites | Required (timeframe not stated) | OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | Confirmed or Suspected Abuse, Neglect or Exploitation against a Patient by Facility Staff | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | Confirmed or suspected abuse, neglect, or exploitation | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Crimes against patients | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Crimes committed against Patients | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | criminal conviction; conduct which may lead to a conviction; actions disciplining or expelling from any professional organization; suspension, revocation, or other discipline by any regulatory body; incompetency due to physical or mental causes or the abu | immediately | OUTPATIENT SUD_IOP | — | SC Reg Ch. 36 | |
| SC | Death | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | Displacement or relocation of patients | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Elopement | immediately, not to exceed twenty-four (24) hours | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | Fire | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Fire and Disasters | Required (timeframe not stated) | OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | fire in the Facility | immediately | OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | SC Reg 60-93 | |
| SC | fire in the Facility — written report | not to exceed forty-eight (48) hours from the occurrence of the fire | within seventy-two (72) hours of the occurrence of the fire | OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | SC Reg 60-93 | |
| SC | Hospitalization as a result of accident and/or incident | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | Hospitalization or death resulting from the incident | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Incident | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | SC Reg 60-125 | |
| SC | incidents | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | infection, epidemic outbreaks, or other unusual occurrences which threaten the health, safety, or well-being of the residents | — | PRTF | — | SC Reg 60-103 | |
| SC | loss and/or theft of drugs or devices | within seventy-two (72) hours of the discovery of the loss and/or theft | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | loss of essential services | not to exceed twenty-four (24) hours from the loss of service | PRTF |
email
HQEP@dph.sc.gov |
SC Reg 60-103 | |
| SC | Medication Error | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | medication errors | — | PRTF | — | SC Reg 60-103 | |
| SC | Medication errors with adverse reaction | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Natural disaster | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | natural disaster or fire — written report | not to exceed forty-eight (48) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | SC Reg 60-93 | |
| SC | natural disaster or fire requiring displacement — written report | within seventy-two (72) hours | PRTF | written | SC Reg 60-103 | |
| SC | natural disaster or fire requiring displacement of residents or jeopardizing safety of residents | immediately | PRTF | phone | SC Reg 60-103 | |
| SC | natural disaster or fire that requires displacement of Patients | immediately | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | Neglect | Required (timeframe not stated) | PRTF | — | SC Reg 60-103 | |
| SC | Overdose reversal (naloxone) | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | reportable diseases | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | resident deaths | — | PRTF | — | SC Reg 60-103 | |
| SC | serious accident or incident resulting in an unexpected death or serious injury | immediately | PRTF | — | SC Reg 60-103 | |
| SC | serious accident or incident resulting in unexpected death or serious injury | at the earliest practicable time, but at least within twenty-four (24) hours of the serious accident or incident | PRTF | portal | SC Reg 60-103 | |
| SC | Severe hematoma, laceration or burn requiring medical attention or hospitalization | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Severe injury | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | portal | SC Reg 60-125 | |
| SC | Severe injury involving use of restraint | immediately, not to exceed twenty-four (24) hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | significant changes in a patient's condition | within twenty-four (24) hours | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | SC Reg 60-125 | |
| SC | temporary closure due to an emergency | within twenty-four (24) hours of the closure | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | SC Reg 60-93 | |
| SC | theft or loss of Controlled Substances | within seventy-two (72) hours of the discovery of the loss and/or theft | upon discovery of the loss or theft | OUTPATIENT PRTF SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | SC Reg 60-93 | |
| SC | violation of the statutes or rules of the Board | Required (timeframe not stated) | OUTPATIENT | written | SC Reg Ch. 100 | |
| SC | written investigation report | within five (5) days | MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | SC Reg 60-93 | |
| SC | written report of investigation of serious accident or incident | within five (5) calendar days of the serious accident or incident | PRTF | portal | SC Reg 60-103 | |
| SD | cases of suspected child abuse or neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | ARSD 67:62 | |
| SD | child abuse or neglect | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | child abuse or neglected child | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | ARSD 67:62 | |
| SD | commission of a crime on the premises of the program or against its staff | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | death not primarily related to the natural course of the client's illness or underlying condition | within twenty-four hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | death resulting from other than natural causes | within 48 hours of the event | SUD_RESIDENTIAL | — | ARSD 44:78 | |
| SD | drug reactions and medication errors | immediate | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | event notification | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | fire that results in structural damage or that results in injury or death | as soon as possible | MH_RESIDENTIAL | — | ARSD 67:63 | |
| SD | fire with damage or where injury or death occurs | as soon as possible | SUD_RESIDENTIAL | — | ARSD 44:78 | |
| SD | fire with structural damage or in which injury or death occurs | as soon as possible | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | follow-up report | within seventy-two hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | ARSD 67:61 | |
| SD | incident or event where there is reasonable cause to suspect abuse or neglect | within 24 hours of becoming informed of the alleged incident or event | SUD_RESIDENTIAL | — | ARSD 44:78 | |
| SD | incidents of abuse, neglect, or exploitation | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | intervention required to sustain life to a client | within twenty-four hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | loss of an emergency generator, fire alarms, sprinklers, and other critical equipment necessary for operation of the agency | as soon as possible | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | loss of services for more than 24 hours | as soon as possible | MH_RESIDENTIAL | — | ARSD 67:63 | |
| SD | loss of utilities | as soon as possible | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | ARSD 67:62 | |
| SD | loss of utilities or critical equipment for more than 24 hours | as soon as possible | SUD_RESIDENTIAL | — | ARSD 44:78 | |
| SD | loss of utilities, including electricity, natural gas, and phone lines | as soon as possible | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | missing patient | within 48 hours | SUD_RESIDENTIAL | — | ARSD 44:78 | |
| SD | nonfunctioning equipment for more than 24 hours | as soon as possible | MH_RESIDENTIAL | — | ARSD 67:63 | |
| SD | partial or complete evacuation of the agency resulting from natural disaster | as soon as possible | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | partial or complete evacuation of the facility resulting from natural disaster | as soon as possible | SUD_RESIDENTIAL | — | ARSD 44:78 | |
| SD | partial or complete evacuation of the facility that results from a natural disaster | as soon as possible | MH_RESIDENTIAL | — | ARSD 67:63 | |
| SD | permanent harm to a client | within twenty-four hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | reportable event | within 60 days following the completion of the end of the month for which the data is being submitted | PSYCH_FACILITY | ARSD 46:24 | ||
| SD | sentinel event | within 24 hours | within twenty-four hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | ARSD 67:62 | |
| SD | sentinel event follow-up report | within 72 hours | within seventy-two hours | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | written | ARSD 67:62 | |
| SD | sentinel event notification | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT | — | ARSD 67:62 | |
| SD | severe temporary harm to a client | within twenty-four hours | OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | ARSD 67:61 | |
| SD | written report of results of internal investigation (abuse or neglect) | within five working days after the event | SUD_RESIDENTIAL | written | ARSD 44:78 | |
| SD | written report of results of internal investigation (missing patient) | within five working days after the event | SUD_RESIDENTIAL | written | ARSD 44:78 | |
| SD | written report of results of internal investigation (unnatural death) | within five working days after the event | SUD_RESIDENTIAL | written | ARSD 44:78 | |
| TN | abuse of a service recipient | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | action taken against the Facility by the DEA, accrediting body, or other state, local, or federal agency | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | TN Rule 0940-05-35 | |
| TN | adverse drug reactions and errors | immediately | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | any action taken against the Facility by the DEA, accrediting body or other state, local or federal agency | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | case of communicable disease | Required (timeframe not stated) | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | Criminal acts | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | death that occurs while a service recipient is restrained or isolated, or where it is reasonable to assume that a service recipient's death is attributable to, or results from, restraint or isolation | by the next business day following the service recipient's death | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | TN Rule 0940-03-06 | |
| TN | discrepancy | immediately upon discovery | OUTPATIENT | — | TN Rule 0940-05-36 | |
| TN | discrepancy (root cause analysis) | Within 14 calendar days of discovery of a discrepancy | OUTPATIENT | — | TN Rule 0940-05-36 | |
| TN | discrepancy in controlled substance inventory | immediately upon discovery | OUTPATIENT | — | TN Rule 0940-05-36 | |
| TN | Disruption of any service vital to the continuous, safe operation of the Facility or to the health and safety of its service recipients and personnel | within twenty-four (24) hours after the Facility learns of the incident | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | drug overdose by student | — | — | — | TN Rule 0940-06-03 | |
| TN | External disaster impacting the Facility | within twenty-four (24) hours after the Facility learns of the incident | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | Fires at the Facility which disrupt the provision of service recipient care services, cause harm to service recipients or staff, or which are reported by the Facility to any entity | within twenty-four (24) hours after the Facility learns of the incident | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | hospital infections | Required (timeframe not stated) | PSYCH_FACILITY SUD_RESIDENTIAL | — | TN Rule 0940-05-16 | |
| TN | Improper disclosure of a service recipient's protected health information | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | infectious and communicable diseases | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | TN Rule 0940-05-06 | |
| TN | injuries | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | — | TN Rule 0940-03-09 | |
| TN | instance of seclusion, restraint, or restriction | Required (timeframe not stated) | PSYCH_FACILITY SUD_RESIDENTIAL | written | TN Rule 0940-05-16 | |
| TN | Medication errors that caused or had the potential to cause harm to the service recipient | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | medication errors, drug reactions and suspected drug overmedication | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY SUD_RESIDENTIAL | — | TN Rule 0940-05-16 | |
| TN | medication errors, drug reactions, or suspected inappropriate medication use | Required (timeframe not stated) | SUD_RESIDENTIAL | — | TN Rule 0940-05-44 | |
| TN | medication errors, drug reactions, or suspected overmedication | Required (timeframe not stated) | MH_PHP MH_RESIDENTIAL | — | TN Rule 0940-05-15 | |
| TN | medication errors, drugs reactions, or suspected overmedication | Required (timeframe not stated) | MH_RESIDENTIAL | — | TN Rule 0940-05-51 | |
| TN | medication errors, medication reactions, or suspected inappropriate medication use | Required (timeframe not stated) | SUD_RESIDENTIAL | — | TN Rule 0940-05-41 | |
| TN | Misappropriation of service recipient funds, including any grant funding, if applicable | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | Neglect of a service recipient | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | Overdose occurring within the Facility | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | Rape | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | reportable incidents | Required (timeframe not stated) | OUTPATIENT | — | TN Rule 0940-05-36 | |
| TN | Reporting | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | TN Rule 0940-03-06 | |
| TN | Reporting Requirements | Required (timeframe not stated) | OUTPATIENT PSYCH_FACILITY SUD_IOP | — | TN Rule 0940-03-13 | |
| TN | reports of abuse, accidents, seizures, illnesses, treatments for such abuse accidents, seizures and illnesses, immunizations and significant behavior incidents | Required (timeframe not stated) | PSYCH_FACILITY SUD_RESIDENTIAL | written | TN Rule 0940-05-16 | |
| TN | reports, forms, and correspondence submitted to or received from health-related boards, FDA, DEA, SAMHSA or other applicable federal agencies, or accreditation organizations | within five (5) business days of sending or receiving such documents | OUTPATIENT SUD_IOP | — | TN Rule 0940-05-35 | |
| TN | Restraint-related incidents | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | robbery, embezzlement, theft, burglary, fire, or disaster resulting in a loss of prescription drugs, controlled substances, medical devices or related materials | immediately | OUTPATIENT | — | TN Rule 0940-05-36 | |
| TN | serious allegations or suspicion of abuse, dereliction, or deficiency in the operation of the facility or service | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | TN Rule 0940-05-02 | |
| TN | serious injury | immediately | MH_RESIDENTIAL PRTF | — | TN Rule 0940-03-09 | |
| TN | serious occurrences | no later than close of business the next business day after the serious occurrence | MH_RESIDENTIAL PRTF | — | TN Rule 0940-03-09 | |
| TN | Service recipient abuse | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | Service recipient altercations | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | significant occurrence | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | TN Rule 0940-05-35 | |
| TN | significant occurrences involving the facility/service or service recipient and staff fires, loss of heat/air conditioning, and/or other structural problems with the facility building(s) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | TN Rule 0940-05-02 | |
| TN | Strike by the staff at the Facility | within twenty-four (24) hours after the Facility learns of the incident | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | Suicide or attempted suicide | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | suspected or alleged abuse or neglect of a service recipient, or other critical incidents | Required (timeframe not stated) | OUTPATIENT | — | TN Rule 0940-05-38 | |
| TN | suspected or alleged abuse, neglect, or other critical incidents | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | TN Rule 0940-05-06 | |
| TN | suspected or diagnosed cases of infectious disease including tuberculosis, AIDS, and sexually transmitted infections (STI) | promptly | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | unexpected occurrence or accident that results in death or serious injury to a patient | Required (timeframe not stated) | OUTPATIENT SUD_IOP | — | TN Rule 0940-05-35 | |
| TN | unexpected occurrence or accident that results in death or serious injury to a service recipient | within twenty-four (24) hours | OUTPATIENT | — | TN Rule 0940-05-42 | |
| TN | unusual occurrence including serious illness, accidents or death | Required (timeframe not stated) | PSYCH_FACILITY SUD_RESIDENTIAL | — | TN Rule 0940-05-16 | |
| TN | use of isolation, mechanical restraint, or physical holding restraint | as soon as possible but no later than twelve (12) hours following initiation of the intervention | MH_RESIDENTIAL PRTF | — | TN Rule 0940-03-09 | |
| TN | use of restraint or isolation | as soon as possible but no later than 12 hours following initiation of the intervention | MH_RESIDENTIAL PRTF PSYCH_FACILITY | — | TN Rule 0940-03-06 | |
| TX | Abuse | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | abuse or neglect of a child, and abuse, neglect, or exploitation of an elderly or disabled person | as soon as possible | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | abuse or neglect of individuals with mental illness | as soon as possible | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | abuse, neglect, and exploitation | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY |
phone
www.txabusehotline.org 1-800-252-5400 |
26 TAC Ch. 307 | |
| TX | abuse, neglect, or exploitation | immediately, but in no case more than one hour after suspicion or knowledge | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 26 TAC Ch. 301 | |
| TX | abuses and losses of controlled substances | Required (timeframe not stated) | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | accidents and injuries | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | adverse drug reactions | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 306 | |
| TX | allegation involving sexual exploitation | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | allegation of abuse or neglect of an elderly or disabled individual | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | allegation of child abuse or neglect | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | allegation or reason to suspect abuse, neglect or exploitation by any provider | immediately | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | allegation or reason to suspect abuse, neglect, or exploitation | immediately | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 26 TAC Ch. 564 | |
| TX | allegation or reason to suspect illegal, unethical, or unprofessional conduct | immediately | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | allegations of abuse, neglect or exploitation of elderly or disabled individuals | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | allegations of abuse, neglect, and exploitation of persons served | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 301 | |
| TX | allegations of child abuse or neglect | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | allegations of client abuse, neglect, and exploitation | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | alleged sexual exploitation committed by a mental health services provider | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 301 | |
| TX | any other significant disruptions | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | autopsy findings if death followed within 14 days after the date of the administration of the therapy | not later than 30 days following the end of each state fiscal year quarter | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | Child Abuse and Neglect | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | Client Abuse and Neglect Reporting (AN-1-A) | within 14 calendar days of the receipt of the investigative report or decision made after review or appeal; information entered into CANRS within one working day after completion of the AN-1-A form | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 26 TAC Ch. 301 | |
| TX | clients absent without permission from a residential program | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | complications or adverse effects | Required (timeframe not stated) | CMHC MH_RESIDENTIAL PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | death of an active outpatient or residential client (on or off the program site) | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | death of an individual receiving services | Immediately after determination of the need to conduct an administrative death review | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 301 | |
| TX | death requiring an administrative death review | Within 14 calendar days of the determination of the need for an administrative death review (or 45 days in cases in which an autopsy is performed, or for deaths occurring at medical facilities to which the individual was transferred before death) or withi | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 301 | |
| TX | deaths | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | 26 TAC Ch. 307 | |
| TX | determination that child is not appropriate for continued treatment and must be discharged in less than 14 calendar days | within 24 hours, but no later than one business day, after the determination | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | drug administration errors, adverse drug reactions, and incompatibilities | immediately | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | emergency discharge determination | within one business day after the determination is made | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | emergency medications used | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | 26 TAC Ch. 307 | |
| TX | Exploitation | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | fire | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | fire incident report | Required (timeframe not stated) | PSYCH_FACILITY | written | 26 TAC Ch. 510 | |
| TX | fractures, reported memory losses, incidents of apnea, and cardiac arrests without death | not later than 30 days following the end of each state fiscal year quarter | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | illegal or violent behavior | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | illegal, unprofessional, or unethical conduct | as soon as possible | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | incident report | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | individual has died | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 306 | |
| TX | individual's restoration to competency status and readiness for return to court | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | loss of a client record | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | medical and psychiatric emergencies that result in admission to an inpatient unit of a medical or psychiatric facility | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | medical emergencies | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | Medication Error | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | medication errors | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | Neglect | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | occurrences of fire | as soon as possible but not later than 10 calendar days following the occurrence | PSYCH_FACILITY | written | 26 TAC Ch. 510 | |
| TX | personal or mechanical restraint or seclusion | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | provider cannot locate the individual | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 306 | |
| TX | psychiatric emergencies | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | release of confidential information without client consent | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | reportable diseases | Required (timeframe not stated) | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | reportable therapies | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 26 TAC Ch. 307 | |
| TX | reported and confirmed cases of abuse, neglect, and exploitation | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | 26 TAC Ch. 307 | |
| TX | reported and confirmed cases of rights violations | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | 26 TAC Ch. 307 | |
| TX | restored to competency | promptly | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | restraints and seclusions used | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | 26 TAC Ch. 307 | |
| TX | results and circumstances of any professional review action | Required (timeframe not stated) | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | retaliatory action against a person served which might be considered abuse, neglect, or exploitation | immediately, but in no case more than one hour after suspicion or knowledge | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 26 TAC Ch. 301 | |
| TX | rights violations | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | — | 26 TAC Ch. 307 | |
| TX | serious injuries | Required (timeframe not stated) | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | portal | 26 TAC Ch. 307 | |
| TX | Sexual Exploitation | Required (timeframe not stated) | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | suicide attempt by an active client (on or off the program site) | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | summary of resulting actions from death review recommendations | within 28 calendar days following the submission of the elements contained in subsection (f)(1) - (7) of this section | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 301 | |
| TX | summary of resulting actions taken in response to recommendations of the administrative and clinical death review committees | within 28 calendar days following the submission of the elements contained in subsection (f)(1) - (7) of this section | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 301 | |
| TX | suspected abuse or neglect | Required (timeframe not stated) | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 301 | |
| TX | suspected sexual exploitation | Required (timeframe not stated) | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | systemic issues emerging from death reviews | on a routine basis or when necessary | CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 301 | |
| TX | unauthorized departures | Verbal reports shall be made immediately, with written confirmation within 24 hours. | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 26 TAC Ch. 564 | |
| TX | unlikely to be restored to competency in the foreseeable future | promptly | CMHC MH_IOP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY | written | 26 TAC Ch. 307 | |
| TX | verbal report of abuse, neglect, or exploitation incident | immediately | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 26 TAC Ch. 564 | |
| TX | violation of a client right, including but not limited to, allegations of abuse, neglect and exploitation | within 24 hours of the occurrence of an incident on-site, or within 24 hours of when the facility became aware of, or reasonably should have known of an incident that occurred off-site | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | workplace violence incident | — | PSYCH_FACILITY | — | 26 TAC Ch. 510 | |
| TX | written incident report (abuse, neglect, or exploitation) | within 24 hours | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| TX | written report of abuse, neglect, or exploitation to the Commission | within two business days after receiving notification of the incident | CMHC OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 26 TAC Ch. 564 | |
| UT | abuse and neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | R501-1 | |
| UT | arrest of an Instructor | within 30 days | OUTPATIENT | written | R523-11 | |
| UT | arrest of an Instructor (self-report) | within 30 days | OUTPATIENT | — | R523-11 | |
| UT | congregate care out of state placement survey | no later than the fifth business day of each month | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | R501-1 | |
| UT | critical incident | Required (timeframe not stated) | MH_PHP MH_RESIDENTIAL PRTF SUD_PHP SUD_RESIDENTIAL | — | R501-1 | |
| UT | critical incident report | Required (timeframe not stated) | SUD_RESIDENTIAL | — | R501-18 | |
| UT | general incident reporting | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | R501-1 | |
| UT | incident report | Required (timeframe not stated) | MH_RESIDENTIAL PRTF | written | R501-15 | |
| UT | incident reporting | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | R501-1 | |
| UT | medication errors | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | R501-1 | |
| UT | private placements | no later than the fifth business day of each month | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | portal | R501-1 | |
| UT | significant criminal activity | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | R501-1 | |
| UT | significant medical emergencies | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | R501-1 | |
| UT | significant medical emergency | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | R501-1 | |
| UT | unprofessional or unlawful conduct, or violation of the provider code of conduct | — | — | — | R523-5 | |
| VA | abuse | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | abuse, neglect, and exploitation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | abuse, neglect, or exploitation | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | abusive, neglectful, or exploitive act that is a crime occurring on program premises | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | allegation of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | allegations of abuse and neglect | within 24 hours of receipt of the allegation | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 12VAC35-115 | |
| VA | allegations of abuse and neglect (facility operated by the department) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 12VAC35-115 | |
| VA | allegations of abuse, neglect, or exploitation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | complaint | no later than the next business day | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | complaint involving abuse, neglect, or exploitation | within 24 hours of the receipt of the allegation | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | criminal charges against staff relating to the health and safety or human rights of residents | within 10 days | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | death during temporary leave | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | written | 12VAC35-210 | |
| VA | death of a resident | within 24 hours | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | written | 12VAC35-46 | |
| VA | death while on temporary leave | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | written | 12VAC35-210 | |
| VA | deaths | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 12VAC35-105 | |
| VA | deaths and serious injuries | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 12VAC35-115 | |
| VA | deaths and serious injuries (facility operated by the department) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | deaths and serious injuries (telephone notification to authorized representative) | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 12VAC35-115 | |
| VA | disaster, fire, emergency, or any other condition that may jeopardize the health, safety, and welfare of residents | as soon as possible, but no later than 72 hours after the incident occurs | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | emergency resulting in harm or injury to any individual | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | emergency treatment without consent continues beyond 24 hours | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | hospitalizations of individuals being served | within 24 hours | MH_RESIDENTIAL SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | illness or injury requiring medical attention during temporary leave | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | 12VAC35-210 | |
| VA | incidents of seclusion and restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | individual classified as a missing person (state hospital) | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | 12VAC35-210 | |
| VA | individual classified as a missing person (training center) | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | 12VAC35-210 | |
| VA | individual or family objects to results of licensed professional's capacity determination | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | injuries resulting from or occurring during the implementation of seclusion or restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | instance of seclusion or restraint that does not comply with this chapter or approved variances, or that results in injury to an individual | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 12VAC35-115 | |
| VA | instances of seclusion or restraint | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | lawsuits against or settlements with residential facility operators relating to the health and safety or human rights of residents | within 10 days | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | Level I serious incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | Level II serious incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | Level II serious incidents | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 12VAC35-105 | |
| VA | Level III serious incident | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | Level III serious incidents | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 12VAC35-105 | |
| VA | objection to disclosure of specific information or a specific proposed treatment or service | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | outbreaks of infectious diseases | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-105 | |
| VA | overnight absence from the facility without permission | within 24 hours | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | problems in the provider's compliance with any applicable seclusion and restraint standard | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | runaway | within 24 hours | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | seclusion or restraint that does not comply with this chapter or an approved variance, or that results in injury to an individual | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | serious illness or injury | within 24 hours | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | serious incident | without delay | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 12VAC35-46 | |
| VA | serious incident reports | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | written | 12VAC35-46 | |
| VA | serious incident, accident, or injury to the resident | within 24 hours | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | serious injuries | within 24 hours of discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | 12VAC35-105 | |
| VA | suspected abuse, neglect, or exploitation | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| VA | suspected child abuse or neglect | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | suspected child abuse or neglect occurring at the facility, on a facility-sponsored event or excursion, or involving facility staff | immediately | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | suspension or termination of approval of research | promptly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-180 | |
| VA | unexplained absence | within 24 hours | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | 12VAC35-46 | |
| VA | violation of the human research protocol that led the committee to either suspend or terminate the human research | as soon as possible | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 12VAC35-180 | |
| VA | violations of this chapter that constitute reportable conditions under state law | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 12VAC35-115 | |
| WA | accident involving the individual which requires or has the potential for requiring medical intervention | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | adolescent listed as missing | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | allegations of abuse | by the end of the next business day of the incident occurring | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | allegations of abuse, neglect, or exploitation | within 48 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | alleged violation of licensing and certification laws and rules | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | any replacement or other change in the status of the program, program sponsor, or medical director | within three weeks | OUTPATIENT | — | WAC 246-341 | |
| WA | compliance status of persons convicted under chapter 46.61 RCW | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | critical incident | within 48 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | death | by the end of the next business day of the incident occurring | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | death, including death by suicide | within 48 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | deaths of individuals enrolled in an opioid treatment program, that do not occur on campus | within 48 hours upon learning of the death | OUTPATIENT | — | WAC 246-341 | |
| WA | deaths that occur on the campus of an opioid treatment program | Required (timeframe not stated) | OUTPATIENT | — | WAC 246-341 | |
| WA | declined admissions | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | disappearances or unaccounted for discrepancies of controlled substances | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | disruption of services through internal or external emergency or disaster | by the end of the next business day of the incident occurring | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | injuries resulting in admission to a hospital as an inpatient | within 48 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | injuries resulting in an inpatient hospital stay | by the end of the next business day of the incident occurring | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | involuntary transfer or discharge without person's consent | within 30 calendar days of occurrence | SUD_RESIDENTIAL | written | WAC 246-341 | |
| WA | mandatory reporting responsibilities | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | medication administration errors, adverse effects, and side effects | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | noncompliance (emergency) — failure to maintain abstinence | within three working days from obtaining information | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | noncompliance (emergency) — leaving program against advice or discharged for rule violation | within three working days from obtaining information | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | noncompliance (emergency) — subsequent alcohol or drug related arrests | within three working days from obtaining information | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | noncompliance (nonemergency) — failure to make acceptable progress in treatment plan | within 10 working days from the end of each reporting period | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | noncompliance (nonemergency) — unexcused absences or failure to report | within 10 working days from the end of each reporting period | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | noncompliance or other significant changes (when court does not wish to receive monthly reports) | as soon as possible, but no longer than 10 working days from the date of the noncompliance | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | outbreak of communicable disease within the agency | within 48 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | self-release from facility prior to clinical determination of treatment completion | within 30 calendar days of occurrence | SUD_RESIDENTIAL | written | WAC 246-341 | |
| WA | significant change in the individual's physical, mental, or psychosocial status | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | significant decrease in the behavioral or physical health status of the youth | within two hours | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | suicide | by the end of the next business day of the incident occurring | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | suspected incidents of child or adult abuse and neglect | Required (timeframe not stated) | MH_RESIDENTIAL PRTF SUD_RESIDENTIAL | — | WAC 246-337 | |
| WA | suspected or alleged incidents of nonaccidental injury, sexual abuse, assault, cruelty, or neglect to a child | within the timelines identified in chapter 26.44 RCW | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | transfer or discharge without the person's consent; self-release prior to clinical determination of treatment completion | within 30 calendar days of occurrence | PSYCH_FACILITY SUD_RESIDENTIAL | written | WAC 246-341 | |
| WA | unprofessional conduct | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WA | violation of individual rights or WAC requirement | — | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | WAC 246-341 | |
| WI | abuse or neglect of a client, or misappropriation of property by a caregiver | within 7 calendar days from the date the service knew or should have known about the abuse, neglect, or misappropriation of property | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 75 | |
| WI | administration of an opioid reversal medication | — | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 31 | |
| WI | allegation of misappropriation of property | within 72 hours | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | allegation of physical, sexual or mental abuse, or neglect of a client | immediately | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | caregiver misconduct | within 7 days of the incident or the date the entity knew or should have known of the incident | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/misconduct/reporting.htm |
DHS 31 | |
| WI | client death related to an accident, injury, natural causes, or other reasons | within 3 business days of the client's death | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
https://www.dhs.wisconsin.gov/crisis/place.htm |
DHS 31 | |
| WI | client death related to physical restraint, psychotropic medication, or suicide | within 24 hours of the client's death | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
https://www.dhs.wisconsin.gov/regulations/report-death/proc-reportingdeath.htm |
DHS 31 | |
| WI | client or group of clients at risk of harm | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 94 | |
| WI | Death | Required (timeframe not stated) | MH_PHP | — | DHS 40 | |
| WI | death of a consumer | Required (timeframe not stated) | CMHC OUTPATIENT | — | DHS 35 | |
| WI | death of a patient | within 5 business days after learning of the death | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 75 | |
| WI | death of a patient in continuing care services | Required (timeframe not stated) | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 75 | |
| WI | death of a patient related to the use of a physical restraint or psychotropic medication, or was a suicide | No later than 24 hours after a service becomes aware of the death | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 75 | |
| WI | Death reporting | Required (timeframe not stated) | CMHC OUTPATIENT | — | DHS 35 | |
| WI | deaths of clients which appear to be the result of suicide, reaction to psychotropic medications or the use of physical restraints or seclusion | Required (timeframe not stated) | CMHC MH_PHP OUTPATIENT | — | DHS 34 | |
| WI | deaths of youth due to suicide, psychotropic medications, or use of physical restraints | no later than 24 hours after a death | MH_PHP |
https://www.dhs.wisconsin.gov/regulations/report-death/proc-reportingdeath.htm |
DHS 40 | |
| WI | denial or limitation of a patient right | Within 2 calendar days following the denial | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 94 | |
| WI | denial or limitation of patient rights | Within 2 calendar days following the denial | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 94 | |
| WI | dual enrollment | within 24 hours | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 75 | |
| WI | elopement | within 24 hours of the incident occurring | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ycsf.htm 608-266-2717 |
DHS 31 | |
| WI | elopement, physical, sexual or mental abuse, or neglect by non-caregivers or youth | within 24 hours of the incident or the date the entity knew or should have known the incident occurred | MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ycsf.htm |
DHS 50 | |
| WI | facility incident report | Required (timeframe not stated) | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 75 | |
| WI | hold on admissions lasting longer than 24 hours | within one business day | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | holds on admissions lasting longer than 24 hours | within one business day | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | incidences of injury | within 24 hours of the incident occurring | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ca-daytreatmentproviders.htm 608-266-2717 |
DHS 31 | |
| WI | incidences of physical restraint | within 24 hours of the incident occurring | MH_PHP MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ca-daytreatmentproviders.htm | https://www.dhs.wisconsin.gov/mh/ycsf.htm 608-266-2717 |
DHS 40 | |
| WI | incidences of restraint | within 24 hours of the incident occurring | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | portal | DHS 31 | |
| WI | incidences of seclusion | within 24 hours of the incident occurring | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ca-daytreatmentproviders.htm | https://www.dhs.wisconsin.gov/mh/ycsf.htm 608-266-2717 |
DHS 31 | |
| WI | incident report | Required (timeframe not stated) | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 75 | |
| WI | injury | within 24 hours of the incident occurring | MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ycsf.htm 608-266-2717 |
DHS 50 | |
| WI | injury investigated under par. (d) | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | injury noted following a physical restraint | Required (timeframe not stated) | MH_PHP | — | DHS 40 | |
| WI | injury of an unknown source | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | involvement of law enforcement | within 24 hours of the incident occurring | MH_PHP MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ca-daytreatmentproviders.htm | https://www.dhs.wisconsin.gov/mh/ycsf.htm 608-266-2717 |
DHS 40 | |
| WI | mandated reporting | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | medication errors | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 31 | |
| WI | misappropriation of property by non-caregivers or youth | within 7 calendar days of the incident or the date the entity knew or should have known of the incident | MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ycsf.htm |
DHS 50 | |
| WI | non-compliance with an applicable requirement of this chapter | within 7 calendar days of its discovery | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 94 | |
| WI | patient death related to an accident or injury | within 3 working days of the patient's death | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | DHS 75 | |
| WI | patient ready for placement in less restrictive setting | Required (timeframe not stated) | MH_RESIDENTIAL PRTF PSYCH_FACILITY SUD_RESIDENTIAL | — | DHS 94 | |
| WI | physical, sexual or mental abuse, or neglect by non-caregivers or youth | within 24 hours of the incident or the date the entity knew or should have known the incident occurred | MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ycsf.htm |
DHS 50 | |
| WI | physical, sexual, or mental abuse, or neglect by non-caregivers or clients | within 24 hours of the incident or the date the entity knew or should have known the incident occurred | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/misconduct/reporting.htm |
DHS 31 | |
| WI | planned use of drastic treatment procedures on county department patients | prior to the planned use | PSYCH_FACILITY | — | DHS 94 | |
| WI | planned use of electroconvulsive therapy on a county department patient | prior to the planned use | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 94 | |
| WI | seclusion or physical restraint | on the same day that it was administered to the youth | MH_PHP | — | DHS 40 | |
| WI | suspected incidents of food borne disease | Required (timeframe not stated) | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 31 | |
| WI | theft of property by non-caregivers or minors | within 7 days of the incident or the date the entity knew or should have known of the incident | MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/misconduct/reporting.htm |
DHS 31 | |
| WI | type and number of drastic treatment procedures used on county department patients | monthly | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 94 | |
| WI | waitlist for services for individuals who inject drugs | within 14 business days | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 75 | |
| WI | waitlist for services for pregnant women | within 2 business days | MH_IOP MH_PHP OUTPATIENT SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | DHS 75 | |
| WI | youth death related to an accident, injury, natural causes, or other reasons | within 3 business days of the youth's death | MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/mh/ycsf.htm |
DHS 50 | |
| WI | youth death related to physical restraint, seclusion, psychotropic medication, or suicide | No later than 24 hours after the death of a youth | MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/regulations/report-death/proc-reportingdeath.htm |
DHS 50 | |
| WI | youth death related to the use of a physical restraint, seclusion, psychotropic medication, or suicide | Required (timeframe not stated) | MH_RESIDENTIAL |
portal
https://www.dhs.wisconsin.gov/regulations/report-death/proc-reportingdeath.htm |
DHS 50 | |
| WV | actual or suspected cases of abuse or neglect of incapacitated adults | immediately report; if report is made by telephone, a written report is required within 48 hours | MH_RESIDENTIAL PSYCH_FACILITY | phone | 64CSR59 | |
| WV | Adverse Event or Incident | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | adverse events or incidents | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | agency medication errors | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | consumer-related incidents | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR11 | |
| WV | Critical Incident — A serious consequence resulting from an apparent error in medication or dietary administration | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Abuse | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Any incident with law enforcement authorities | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Attempted suicide | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Behavior that will likely lead to serious injury or significant property damage | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Death due to any cause | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Extended and unauthorized absence of a consumer that exceeds his or her treatment plan provision for community access | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Fire resulting in injury, relocation, or an interruption of services | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Injury that requires hospitalization or results in permanent physical damage | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Life-threatening reaction because of a drug or food | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | Critical Incident — Removal of a consumer from either residential or program services without the consent of a consumer or his or her legal representative | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | critical incident involving an incapacitated adult | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | death involving drug overdose or drug-related complications | within 24 hours of the program receiving notification of the mortality | within forty-eight hours of the program receiving notification of the mortality | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | detailed report of behavioral intervention or emergency control measures | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 64CSR11 | |
| WV | extraordinary incident or accident involving the patient | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | written | 64CSR59 | |
| WV | grievance of abuse or neglect | immediately | MH_RESIDENTIAL PSYCH_FACILITY | phone | 64CSR59 | |
| WV | harassment or abuse of patients by staff | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | harm to family members or others from ingesting a patient's medication | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | incident of actual or suspected abuse or neglect | Required (timeframe not stated) | MH_RESIDENTIAL PSYCH_FACILITY | — | 64CSR59 | |
| WV | incident or adverse event | Within seven days of an incident or adverse event | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | written | 69CSR11 | |
| WV | incident that results in serious injury or death | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 64CSR11 | |
| WV | injury of unknown source | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | mandatory reporting | Required (timeframe not stated) | MH_RESIDENTIAL SUD_RESIDENTIAL | phone | 64CSR11 | |
| WV | mandatory reporting (unsafe conditions for incapacitated consumer) | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | medication diversion | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | Medication Error | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR11 | |
| WV | medication errors and adverse drug reactions | immediately | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | neglect, abuse, or suspected neglect or abuse | within 24 hours by telephone followed by a written report within 48 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | phone | 64CSR11 | |
| WV | patient deaths | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | potentially lethal patient suicide attempts | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | reasonable suspicion of abuse or neglect | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR74 | |
| WV | selling drugs on the premises | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WV | unusual incidents or events | Required (timeframe not stated) | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | written | 64CSR11 | |
| WV | violations, or suspected violations, of a consumer's rights | within 24 hours | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | violations, or suspected violations, of a consumer's rights (physical abuse) | immediate | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 64CSR11 | |
| WV | violence | Required (timeframe not stated) | OUTPATIENT SUD_IOP SUD_RESIDENTIAL | — | 69CSR7 | |
| WY | allegations of mistreatment, abuse or neglect, as well as any injuries to patients | immediately | CMHC PSYCH_FACILITY | — | 048.0029.1.07191990 | |
| WY | fails to follow the court order or follow or does not complete the curricula | within ten (10) business days of the end of the services | OUTPATIENT | — | 048.0077.2.09182024 | |
| WY | major unusual incidents or sentinel events | within thirty calendar (30) days of submission to the national accrediting body | CCBHC CMHC MH_IOP MH_PHP MH_RESIDENTIAL OUTPATIENT PRTF PSYCH_FACILITY SUD_IOP SUD_PHP SUD_RESIDENTIAL | — | 048.0077.2.09182024 | |
| WY | results of all investigations | within five working days of the incident | CMHC PSYCH_FACILITY | — | 048.0029.1.07191990 |