Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 207 - Institutional Long Term Care
Chapter 4 - Psychiatric Residential Treatment Facility
Rule 23-207-4.15 - Reporting Requirement
Universal Citation: MS Code of Rules 23-207-4.15
Current through September 24, 2024
A. The PRTF must keep the Division of Medicaid informed of serious occurrences involving residents of the PRTF.
1. The death of any
resident or a serious incident involving any resident, regardless of whether or
not those involved were Medicaid beneficiaries, must be reported to the
Division of Medicaid.
a) The death of any
resident must be reported to the Division of Medicaid as soon as possible, but
no later than close of business the same day.
b) Serious incidents must be reported by fax
to the Division of Medicaid by close of the next business day.
2. The Division of Medicaid
defines serious incidents as:
a) Serious
injury of a resident, defined as any significant impairment of the physical
condition of the resident as determined by qualified medical personnel.
1) This includes, but is not limited to,
burns, lacerations, bone fractures, substantial hematoma, and injuries to
internal organs, whether self-inflicted or inflicted by someone else.
2) All serious injuries that require medical
intervention are to be reported.
b) Suicide attempt by a resident.
c) Elopement of a resident.
d) Allegations of sexual contact between
residents.
e) Allegations of
maltreatment, like abuse and/or neglect of a resident.
f) Any injury of a resident sustained in the
course of a seclusion or restraint.
3. Each report must include:
a) The name of the resident, if she/he is a
Medicaid beneficiary,
b) A
description of the occurrence, and
c) The name, street address, and telephone
number of the facility.
B. Serious incidents must also be reported to the appropriate agencies or entities according to applicable state and federal regulations. These include, but are not limited to:
1. Department of Human Services
(DHS).
2. Mississippi State
Department of Health, Bureau of Health Facilities Licensure and Certification
(MSDH).
3. Disability Rights
Mississippi (DRM) formerly known as the State Protection and Advocacy
office.
4. Regional Office of the
Center for Medicare and Medicaid Services (CMS)
5. Medicaid Fraud Control Unit, Attorney
General (MFCU)
6. Utilization
Management and Quality Improvement Organization (UM/QIO) for the Division of
Medicaid.
Miss. Code Ann. § 43-13-121; 43-21-353; 42 CFR 483.374
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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