EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION a. Provider shall use best efforts to ensure that Member(s) are not abused, neglected or exploited while in its care.
b. The Provider shall report all events or instances involving abuse, neglect or exploitation of Members as required by Controlling Authority.
c. The Provider shall not use restrictive interventions except as specifically permitted by the individual Member’s treatment/habilitation plan or on an emergency basis in accordance with 10A NCAC 27E.
d. Provider shall timely report and comply with applicable Member incident, critical incident and death reporting Laws, regulations and policies and event reporting requirements of Provider’s and Alliance’s national accreditation organizations. Incidents shall be reported in the manner prescribed and on a form provided by the Secretary of the DHHS. Specifically, Providers are required to report Level II and Level III incidents, as those terms are defined at 10A NCAC 27G .0602, in the NC Incident Response Improvement System.
e. Alliance shall have the right to conduct its own investigation of any events reported to determine whether any claims were paid in error and to ensure compliance with Controlling Authority by the Provider. The Provider shall cooperate fully with all such investigative efforts. Alliance will provide the Provider a written summary of its findings within thirty (30) days. During such an investigation, if any issues are cited as out of compliance with this Contract or applicable federal or state Laws, rules or regulations, the Provider may be required to document and implement a plan of correction. Provider may request reconsideration of a determination that claims were paid in error as outlined in the Provider Manual.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION a. Contractor shall use best efforts to ensure that Enrollee(s) are not abused, neglected or exploited while in its care.
b. The Contractor shall report all events or instances involving abuse, neglect or exploitation of Enrollees as required by Controlling Authority.
c. The Contractor shall not use restrictive interventions except as specifically permitted by the individual Enrollee’s treatment/habilitation plan or on an emergency basis.
d. The LME/PIHP shall have the right to conduct its own investigation of any events reported to determine whether any claims were paid in error or to ensure compliance with practice guidelines by the Contractor. The Contractor shall cooperate fully with all such investigative requests. The LME/PIHP will provide the Contractor a written summary of its findings within 30 days. During such an investigation, if any issues are cited as out of compliance with this Contract or federal or state laws, rules or regulations, the Contractor may be required to document and implement a plan of correction. Contractor may contest and appeal a determination that claims were paid in error as outlined in the LME/PIHP Provider Manual promulgated by LME/PIHP pursuant to N.C. Gen. Stat. §122C-151.3.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION a. CONTRACTOR shall use best efforts to ensure that Enrollee(s) are not abused, neglected or exploited while in its care.
b. The CONTRACTOR shall report all events or instances involving abuse, neglect or exploitation of Enrollees as required by incident reporting guidelines by all applicable agencies and the Controlling Authority.
c. The CONTRACTOR shall not use restrictive interventions except as specifically permitted by the individual Enrollee’s treatment/habilitation plan or on an emergency basis in accordance with 10A, NCAC, 27E.
d. The LME/PIHP shall have the right to conduct its own investigation of any events reported to determine whether any claims were paid in error or to ensure compliance with practice guidelines by the CONTRACTOR. The CONTRACTOR shall cooperate with all such investigative requests. Failure to cooperate is a material breach of this contract. The LME/PIHP will provide the CONTRACTOR a written summary of its findings within 30 days. During such an investigation, if any issues are cited as out of compliance with this Contract or federal or state laws, rules or regulations, the CONTRACTOR may be required to document and implement a plan of correction. CONTRACTOR may contest and appeal a determination that claims were paid in error as outlined in the LME/PIHP Provider Operations Manual promulgated by the LME/PIHP pursuant to N.C. Gen. Stat. §122C-151.3 and Chapters 108C and 150B of the North Carolina General Statutes.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION. Practitioner shall use its best efforts to ensure that Member(s) are not abused, neglected or exploited while in its care. The Practitioner shall report all events or instances involving abuse, neglect or exploitation of Member(s) as required by incident reporting guidelines by applicable agencies and must comply with applicable critical incident and death reporting laws, regulations, and policies and event reporting requirements of national accreditation organizations.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION. A. Contractor shall use best efforts to ensure that Members are not abused, neglected or exploited while in Contractors care.
B. Contractor will comply with applicable critical incident and death reporting laws, regulations, policies, and event reporting requirements of national accreditation organizations to include reporting of all events or instances involving abuse, neglect or exploitation of Member as required by incident reporting guidelines by all applicable agencies and the Controlling Authority.
C. Contractor shall not use restrictive interventions except as specifically permitted by the Member’s individual treatment/habilitation plan or on an emergency basis in accordance with 10A NCAC 27E, 10A NCAC 13B, or as otherwise authorized in applicable Controlling Authority.
D. BH I/DD Tailored Plan shall have the right to conduct its own investigation of any event reported to determine whether any claims were paid in error or to ensure compliance with practice guidelines by the Contractor. The Contractor shall cooperate with all such investigative requests. Failure to cooperate is a material breach of this Contract. The BH I/DD Tailored Plan will provide the Contractor a written summary of its findings within timeframes established by BH I/DD Tailored Plan. During such an investigation, if any issues are cited as out of compliance with this Contract or federal or state laws, rules or regulations, the Contractor may be required to document and implement a plan of correction. Contractor may contest and appeal a determination that claims were paid in error as outlined in the BH I/DD Tailored Plan Provider Manual or as otherwise set forth in Controlling Authority.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION. The LIP shall use best efforts to ensure that Enrollee(s) are not abused, neglected or exploited while in its care. The LIP shall report all events or instances involving abuse, neglect or exploitation of Enrollees as required by incident reporting guidelines by all applicable agencies and the by Controlling Authority. The LIP shall not use restrictive interventions except as specifically permitted by the individual Enrollees’ treatment/habilitation plan or on an emergency basis, as specified in 10A, NCAC, Subchapter 27 E. The LME/PIHP shall have the right to conduct its own investigation of any events reported to determine whether any claims were paid in error or to ensure compliance with practice guidelines by the LIP. The LIP shall cooperate with all such investigative requests. Failure to cooperate is a material breach of this contract. The LME/PIHP will provide the LIP a written summary of its findings within 30 days. During such an investigation, if any issues are cited as out of compliance with this Contract or federal or state laws, rules or regulations, the LIP may be required to document and implement a plan of correction.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION a. Contractor shall use best efforts to ensure that Enrollee(s) are not abused, neglected or exploited while in its care.
b. Contractor shall report all events or instances involving abuse, neglect or exploitation of Enrollees as required by incident reporting guidelines by all applicable agencies and the Controlling Authority.
c. Contractor shall not use restrictive interventions except as specifically permitted by the individual Enrollee’s treatment/habilitation plan or on an emergency basis in accordance with 10A NCAC 27E, 10A NCAC 13B, or as otherwise authorized in applicable Controlling Authority.
d. LME/PIHP shall have the right to conduct its own investigation of any events reported to determine whether any claims were paid in error or to ensure compliance with practice guidelines by the Contractor. The Contractor shall cooperate with all such investigative requests. Failure to cooperate is a material breach of this contract. The LME/PIHP will provide the Contractor a written summary of its findings within 30 days. During such an investigation, if any issues are cited as out of compliance with this Contract or federal or state laws, rules or regulations, the Contractor may be required to document and implement a plan of correction. Contractor may contest and appeal a determination that claims were paid in error as outlined in the LME/PIHP Provider Operations Manual or as otherwise set forth in Controlling Authority.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION a. The LIP shall use best efforts to ensure that Enrollee(s) are not abused, neglected or exploited while in its care.
b. The LIP shall report all events or instances involving abuse, neglect or exploitation of Enrollees as required by incident reporting guidelines by all applicable agencies and the by Controlling Authority.
c. The LIP shall not use restrictive interventions except as specifically permitted by the individual Enrollees’ treatment/habilitation plan or on an emergency basis, as specified in 10A, NCAC, Subchapter 27 E.
d. The LME/PIHP shall have the right to conduct its own investigation of any events reported to determine whether any claims were paid in error or to ensure compliance with practice guidelines by the LIP. The LIP shall cooperate with all such investigative requests. Failure to cooperate is a material breach of this contract. The LME/PIHP will provide the LIP a written summary of its findings within 30 days. During such an investigation, if any issues are cited as out of compliance with this Contract or federal or state laws, rules or regulations, the LIP may be required to document and implement a plan of correction.
EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION. The LIP shall use best efforts to ensure that Enrollee(s) are not abused, neglected or exploited while in its care. The LIP shall report all events or instances involving abuse, neglect or exploitation of Enrollees as required by incident reporting guidelines by all applicable agencies and the by Controlling Authority. The LIP shall not use restrictive interventions except as specifically permitted by the individual Enrollees’ treatment/habilitation plan or on an emergency basis, as specified in 10A, NCAC, Subchapter 27 E. The LME/PIHP shall have the right to conduct its own investigation of any events reported to determine whether any claims were paid in error or to ensure compliance with practice guidelines by the LIP. The LIP shall cooperate with all such investigative requests. Failure to cooperate is a material breach of this contract. The LME/PIHP will provide the LIP a written summary of its findings within 30 days. During such an investigation, if any issues are cited as out of compliance with this Contract or federal or state laws, rules or regulations, the LIP may be required to document and implement a plan of correction.
