Pennsylvania implemented our prior audit recommendations for critical incidents involving Medicaid enrollees with developmental disabilities but should continue to take action to reduce unreported incidents Developmental Disabilities Government Regulation Mandatory Reporting Nursing Homes -- legislation & jurisprudence Nursing Homes -- standards Safety Management -- standards Why OIG Did This Audit. We previously issued an audit of Pennsylvania as part of a series of audits conducted in response to a congressional request concerning deaths and abuse of residents with developmental disabilities in group homes. In our previous audit, we found that Pennsylvania did not comply with Federal Medicaid waiver and State requirements for reporting and monitoring such incidents. Our previous audit report contained seven recommendations. Our objective was to determine whether Pennsylvania implemented the recommendations from our prior audit, Pennsylvania Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities (A-03-17- 00202). How OIG Did This Audit. We reviewed Pennsylvania’s system for the reporting and monitoring of critical incidents involving Medicaid waiver participants with developmental disabilities who were covered by the waiver and resided in community-based settings during the audit period. We also reviewed correspondence and documentation to determine whether Pennsylvania had implemented our previous recommendations and had taken actions that satisfied the intent of our recommendations. [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, November 2023 United States. Department of Health and Human Services. Office of Inspector General. Office of Audit Services, issuing body. Technical Report Text Illustrations 1 online resource (1 PDF file (26 pages)) nlm:nlmuid-9918750687106676-pdf 9918750687106676 http://resource.nlm.nih.gov/9918750687106676 English Pennsylvania The National Library of Medicine believes this item to be in the public domain. https://creativecommons.org/publicdomain/mark/1.0