Identifying and Responding to Member Incidents. The MCO must develop and maintain an internal incident management system that manages incidents occurring at the member and provider levels, to ensure member health and safety, reduce member incident risks, and enable development of strategies to prevent future incident occurrences. This internal incident management system must integrate with the AIRS. Immediately, but not more than three (3) business days after discovering or learning of a member incident that meets the definition of a member incident type, the MCO must report a member incident to its DHS Member Care Quality Specialist through AIRS. The MCO must require its providers to report member incidents to designated MCO staff within one (1) business day after discovering or learning of a member incident that meets the definition of a member incident type. Member incidents that must be reported in AIRS include any of the following:
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