Reminder: Adverse Incident Timely Reporting

Date: 09/07/22

Louisiana Healthcare Connections would like to remind all Behavioral Health providers to submit an Adverse Incident (AI) Report Form to the respected MCO within one business day of being made aware of the reportable adverse incidents identified on the form.

The AI Reporting Form and AI Reporting Form Instructions can be found on the Louisiana Healthcare Connections website:

• Adverse Incident Reporting Form
• Adverse Incident Reporting Form Instructions

REMINDER: As mandated reporters, and as required by Louisiana’s Children’s Code Title VI, Article 603, and LDH, healthcare providers are required to submit the AI Reporting Form within 1 business day of discovery, but within 24 hoursdiscovery to DCFS/APS when applicable of the adverse incident to the affected member’s Healthy Louisiana health plan. For Louisiana Healthcare Connections members, the AI Reporting Form must be submitted via fax to 1-866-704-3063.

Healthcare providers are encouraged to use the following Frequently Asked Questions to educate their staff about AI reporting requirements:

What is an adverse incident?

An adverse incident is defined as an unexpected occurrence that led to or could have led to, serious unintended or unexpected harm, loss, or damage. Adverse incidents result in unintended harm to the patient by an act of commission or omission, rather than by the underlying disease or condition. These includeextortion, exploration, death, abuse, and/or neglect.

Is the AI Reporting Form different for each Healthy Louisiana plan?

No. All of the Healthy Louisiana health plans, including Louisiana Healthcare Connections, use the same AI Reporting Form. Remember: the form must be submitted to the affected member’s health plan, not the state. Louisiana Healthcare Connections tracks and monitors providers to ensure compliance with the state’s adverse incident reporting requirements. If the adverse incident occurred within a facility, an additional requirement is to be submitted to LDH-HSS.

Where can providers get adverse incident training?

Louisiana Healthcare Connections provides regular Adverse Incident Reporting Training at no cost to providers. You can register for this training (and other free educational and training opportunities) by visiting www.envolveu.com.