The Health Care Authority/Medical Assistance Division/Quality Bureau (HCA/MAD/QB) Critical Incident Reporting System (CIRS) contains the statewide reporting requirements for all incidents involving beneficiaries served under Turquoise Care-funded Home and Community-Based Services (HCBS) programs.

Community agencies providing Home and Community-Based Services (HCBS) are required to report critical incidents to the State.

Home & Community-Based Services (HCBS) include Personal Care Services (PCS), Self-Directed Community Benefit (SDCB) services, and other services.  All allegations of abuse, neglect, and exploitation of a beneficiary must be reported, as well as any incidents involving emergency services, hospitalization, the death of a beneficiary, the involvement of law enforcement, any environmental hazards that compromise the health and safety of a beneficiary, and any elopement or missing beneficiary.

Incident management principles

• All adults and children receiving Turquoise Care Home and Community-Based Services (HCBS) should be able to enjoy a quality of life that is free of abuse, neglect, and exploitation.
• Direct staff providing services and the agencies that employee them must receive initial and ongoing training to be competent to respond to, report, and document incidents in a timely and accurate manner.
• Beneficiaries, legal representatives, and guardians must be made aware of and have available incident reporting processes.
• Any individual who, in good faith, reports an incident or makes an allegation of abuse, neglect, or exploitation will be free from any form of retaliation.
• Quality starts with those who work most closely with persons receiving services.

For questions email HCA-QB-CIR@hca.nm.gov