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Medicaid Home & Community-Based Waivers Manual: Appendix S

APPENDIX S: Safety Issues

S-1 Medicaid Waiver Program Critical Incident Report

 PDF Version (PDF, 28 KB); Word Fillable Version (221 KB)

S-2 Medicaid Waiver Program Critical Incident Report

 Instructions (PDF, 52 KB)

S-3 Incident Reporting Consumer Guide (PDF, 88 KB)
S-4 Incident Reporting Consumer Guide for Children (PDF, 104 KB)

 

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Last Revised: April 23, 2014