Idaho Behavioral Health Plan Critical Incident Report Form
Submit this short, three-step form to report a critical incident.
Instructions
Providers are required to report as much information as possible within 24 hours of being notified of the incident. In the event an incident occurs on a weekend or holiday, report the incident the next business day.
If you are unable to submit the form electronically, Magellan is ready to take the information verbally at 1-855-202-0983 (Provider line).
Be sure that clinical notes are clear and objective, do not use acronyms if at all avoidable, and include valid diagnosis codes and definitions from the current DSM as relevant.
