{"ref":"OH-HC-INC-01","title":"Incident Management and Waiver Incident Reporting","category":"Safeguarding","summary":"Sets how staff recognize, respond to, document and report incidents for every client, and how the Agency meets the Ohio Medicaid incident management rule for waiver and managed care clients: the critical and reportable incident categories, immediate action, the report to the case management agency or managed care plan immediately upon discovery and no later than one business day after discovery, the minimum report contents, the one-business-day significant change notice to ODA or its designee, cooperation with investigations, internal review and trend analysis, and the written acknowledgment of the rule by staff.","inShort":["If something happens that could hurt a client, make the client safe first. Call 911 if anyone is in danger.","Call the office or on-call supervisor right away, before you leave the home.","If you think a client was abused, neglected or exploited, you must also make the report yourself.","Write what you saw, heard and did on an Incident Report before your shift ends. Do not guess or blame.","For waiver clients, the office reports to the case manager or plan right away, never later than one business day."],"primaryCitation":"OAC 5160-44-05","citations":["OAC 5160-44-05(A), (B), (C), (D)(1)","OAC 173-39-02(A)(7), (B)(3)(a), (b)(iv)","OAC 173-39-02.11(C)(3)(b)(v)","OAC 173-39-02.8(B)(5)(c)(i)(f)","OAC 5160-44-31(B)(2)(c), (B)(7), (B)(17)","ORC 5101.63","ORC 5123.61","ORC 2151.421"],"federalCitations":[],"surveyorAsks":["Show me your written policy on documenting incidents.","An aide finds a PASSPORT client on the floor with a cut on the head. Walk me through what happens and who is told, and by when."],"forms":[{"ref":"OH-HC-INC-01-A","title":"Incident Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 5160-44-05)","5. What Staff Report as an Incident","6. Waiver and Managed Care Incident Categories","7. What Staff Do Immediately","8. Reporting Outside the Agency","9. What the Waiver or Plan Report Contains","10. Cooperating with Investigations","11. Internal Review and Follow-Up","12. Staff Training and Written Acknowledgment","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"oh-hca","state":"Ohio","service":"Home care","guides":[{"path":"/guides/abuse-neglect-exploitation-reporting/","h1":"Abuse, neglect and exploitation policies: what each state requires"},{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}