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State Compliance With Requirements for Reporting and Monitoring Critical Incidents

The Centers for Medicare & Medicaid Services requires States to implement an incident reporting system to protect the health and welfare of the Medicaid beneficiaries who receive services in community-based settings or nursing facilities. During prior audits, OIG found that some States did not always comply with Federal and State requirements for reporting and monitoring critical incidents such as abuse and neglect. We will review additional State Medicaid Agencies to determine whether the selected States are in compliance with the requirements for reporting and monitoring critical incidents. Our work will focus on Medicaid beneficiaries residing in both community-based settings and nursing facilities.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
December 2017 Centers for Medicare & Medicaid Services State Compliance With Requirements for Reporting and Monitoring Critical Incidents Office of Audit Services W-00-17-31040; A-02-17-01026; A-03-17-00202; A-04-17-03084; A-04-17-04063; A-04-17-08058; A-06-17-01003; A-06-17-02005; A-06-17-04003; A-09-17-02006 2018

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201