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Critical Incident Report Masshealth  Form

Critical Incident Report Masshealth Form

Use a massachusetts critical incident form template to make your document workflow more streamlined.

Incident, nor does it supersede or negate any independent responsibility a provider may have to report the incident to other authorities. Instructions Verbal Communication and Immediate Notification (See Critical Incident Reporting Instructions) Upon learning of the occurrence of a reportable critical incident, the provider must immediately contact the appropriate MassHealth program manager by phone to report the incident. If a reportable critical incident occurs on a weekend day or holiday...
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