Guidance for Home and Community Based Services (HCBS) Providers on Reporting Critical Incidents
Date: 08/04/22
Fort Lauderdale, Florida
This is an important reminder for all Home Health, Direct Service Workers (DSWs) and Adult Day Care (ADC) facilities servicing any Long-Term Care (LTC) member.
Critical incidents must be reported to Sunshine Health immediately
Critical Incidents are defined as: any inaction or action that negatively impacts the health, safety, or welfare of a member, including death by suicide, homicide, abuse, neglect or otherwise unexpected, adverse incident or major illness; sexual battery, medication errors, suicide attempts, altercations requiring medical intervention or elopement. Immediately after notification of the incident, providers must fill out a Provider Incident Reporting form (PDF).
After completing the form, please email us at SUN_PQOC@centene.com or Fax to 1-844-940-0686. The form also allows an automatic route by selecting the “submit” button at the bottom of the form. Failure to report timely and accurately may result in disciplinary action.
Sunshine Health has combined state and national expertise to provide Long-Term Care trainings that support the delivery of quality care to our members. Trainings are offered at no cost to providers. We offer our live online training series to expand educational opportunities. For specific CE board approvals, refer to each training on the registration page for CE information. These trainings and more can be located by visiting our Provider Training web page.
Reporting Best Practices:
- Be Aware of what to report
- Be Timely
- Be Accurate
- Be Thorough
- Be Available
We sincerely appreciate your attention to this matter. Thank you for the support and care you provide our members.
If you have questions about this notice, please contact your Provider Relations Representative or call Sunshine Health Provider Services at 1-844-477-8313. Stay up to date on Sunshine Health provider notices by reviewing and bookmarking Provider News.