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Welcome to the NC Incident Response Improvement System
LIVE SITE - DO NOT ENTER -TEST- INCIDENT REPORTS HERE!
The CNDS field under the Consumer Treatment tab is now mandatory. If an individual has Medicaid, this number will be the same as the Medicaid number. If your agency does not have the CNDS number, please contact the applicable Tailored Plan or Pre-paid Health Plan to obtain number and resubmit report. IRIS reports are still required to be submitted within 72 clock hours and HCPR reports within 24 hours. Your assistance is greatly appreciated.!
Transition to Community Living (TCL01) Services: Providers should check TCL01: Services for TCL Members under Consumer Services for all individuals receiving any services under TCL in addition to the actual services that the individual is receiving.


Provider Incident Reporting

     Providers: You may enter only Level II and Level III incidents.





To view or Edit an existing Incident Report, enter the Incident Number and Consumer Name. If you do not have the Incident Number, please call your Tailored Plan and request that it be sent to you.

If you are unable to access the Incident Report form through this web site, notify your Tailored Plan's QA/QI office by phone. You are still responsible for reporting the incident and must complete a paper copy and deliver it to your Tailored Plan within the required timeline.

Links to Other State Agencies and Documents
 
Tailored Plan / DHHS User Log-In

Enter your NCID User ID and Password
to access the NC-IRIS application.
I forgot my password.



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Agreement for Sharing of Information between Providers and DHHS (including SU data):
According to 42 CFR 2.53, providers are required, before submitting the information into the Incident Response Improvement System, to obtain written agreement from the collecting state agency that the state agency agrees to specific conditions. The following message constitutes such written agreement by NC DHHS to address the sharing of information between these agencies.

  • DHHS agrees to the following: DHHS represents that it provides financial assistance to the program and/or is authorized by law to regulate its activities;

  • DHHS requires the information for, and will use it only for, conducting an audit, conducting an evaluation, or (if a quality improvement organization) performing a utilization or quality control review;

  • DHHS will maintain and destroy the patient identifying information in a manner consistent with the policies and procedures established under ยง 2.16;

  • DHHS will retain records in compliance with applicable federal, state, and local record retention laws; and

  • DHHS will disclose patient identifying information only back to the program from which it was obtained, or as required by law.


Version:  .NET 4.6 Created:  April 2010 Modified:  June 2021
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