Delaware DHSS
The Online Incident Reporting form is used to report complaints, reportable incidents, and alleged abuse, neglect, mistreatment or financial exploitation (including rights complaints, HIPAA violations, etc.) of an individual supported by the following agencies:
- Division of Developmental Disabilities Services (DDDS)
- Division of Substance Abuse and Mental Health (DSAMH)
- Division of Health Care Quality (DHCQ)
- Division of Medicaid & Medical Assistance (DMMA)
Delaware DHSS Online Incident Reporting Form
The primary focus of these videos is filling out the online incident reporting form. Use the tabs on the left to review how to report an incident for each agency.
The video below shows how to log the Online Incident Report Form for the Division of Developmental Disabilities Services (DDDS).
The video below shows how to log the Online Incident Report Form for the Division of Substance Abuse and Mental Health (DSAMH).
The video below shows how to log the Online Incident Report Form for the Division of Medicaid and Medical Assistance (DMMA).
The video below shows how to log the Online Incident Report Form for the Division of Health Care Quality (DHCQ) – Acute.
The video below shows how to document the 30 day Follow Up Report for the Division of Health Care Quality (DHCQ) – Acute.
The video below shows how to log the Online Incident Report Form for the Division of Health Care Quality (DHCQ) – LTC.
The video below shows how to document the 5 day Follow Up Report for the Division of Health Care Quality (DHCQ) – LTC.