Common use of EVENT REPORTING AND ABUSE/ NEGLECT/ EXPLOITATION Clause in Contracts

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. Provider shall use best efforts to ensure that Member(sRecipient(s) are not abused, neglected or exploited while in its care. b. a. The Provider shall report all events or instances involving abuse, neglect or exploitation of Members Recipients as required by Controlling Authority. c. b. The Provider shall not use restrictive interventions except as specifically permitted by the individual MemberRecipient’s treatment/habilitation plan or on an emergency basis in accordance with 10A NCAC 27E. d. c. Provider shall timely report and comply with applicable Member Recipient 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. d. 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.