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welcome everyone this video is about the changes to the incident definitions and ger guide that will go into effect on may 1st 2022 for all providers of the cdd and ddad waiver services this presentation was created through the quality improvement contract by liberty healthcare corporation with cooperation from the nebraska state department of health and human services developmental disabilities division this version of the video is created for ddad and cdd providers first lets talk about why changes are being made to the incident reporting process centers for medicaid services requires the listed assurances from states these assurances focus on demonstrating that state systems have designed and implemented an effective system for assuring waiver participant health and welfare these are the assurances that require states to have a robust critical incident management process in january of 2018 the office of the inspector general in partnership with dhhs administration for community li