Event Notification. In addition to other reporting requirements outlined in this contract, the PIHP shall immediately notify MDCH of the following events: 1. Any death that occurs as a result of suspected staff member action or inaction, or any death that is the subject of a recipient rights, licensing, or police investigation. This report shall be submitted electronically within 48 hours of either the death, or the PIHP’s receipt of notification of the death, or the PIHP’s receipt of notification that a rights, licensing, and/or police investigation has commenced to ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ and include the following information: a. Name of beneficiary b. Beneficiary ID number (Medicaid, ABW, MiChild) c. Consumer I (CONID) if there is no beneficiary ID number d. Date, time and place of death (if a licensed ▇▇▇▇▇▇ care facility, include the license #) e. Preliminary cause of death f. Contact person’s name and E-mail address 2. Relocation of a consumer’s placement due to licensing issues. 3. An occurrence that requires the relocation of any PIHP or provider panel service site, governance, or administrative operation for more than 24 hours 4. The conviction of a PIHP or provider panel staff members for any offense related to the performance of their job duties or responsibilities. Except for deaths, notification of the remaining events shall be made telephonically or other forms of communication within five (5) business days to contract management staff members in MDCH’s Behavioral Health and Developmental Disabilities Administration.
Appears in 1 contract
Sources: Medicaid Managed Specialty Supports and Services Concurrent Waiver Program Agreement
Event Notification. In addition to other reporting requirements outlined in this contract, the PIHP shall immediately notify MDCH of the following events:
1. Any death that occurs as a result of suspected staff member action or inaction, or any death that is the subject of a recipient rights, licensing, or police investigation. This report shall be submitted electronically within 48 hours of either the death, or the PIHP’s receipt of notification of the death, or the PIHP’s receipt of notification that a rights, licensing, and/or police investigation has commenced to ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ and include the following information:
a. Name of beneficiary
b. Beneficiary ID number (Medicaid, ABW, MiChild)
c. Consumer I (CONID) if there ther is no beneficiary ID number
d. Date, time and place of death (if a licensed ▇▇▇▇▇▇ care facility, include the license #)
e. Preliminary cause of death
f. Contact person’s name and E-mail address
2. Relocation of a consumer’s placement due to licensing issues.
3. An occurrence that requires the relocation of any PIHP or provider panel service site, governance, or administrative operation for more than 24 hours
4. The conviction of a PIHP or provider panel staff members for any offense related to the performance of their job duties or responsibilities. Except for deaths, notification of the remaining events shall be made telephonically or other forms of communication within five (5) business days to contract management staff members in MDCH’s Behavioral Health and Developmental Disabilities Administration.
Appears in 1 contract
Sources: Medicaid Managed Specialty Supports and Services Concurrent Waiver Program Agreement