Seclusion and Restraint (SAR) Individual Event Reporting
Molina Healthcare individual and organizational contracted providers who are licensed to administer Seclusion and Restraint (SAR) are required to report all Molina Healthcare member Seclusion and/or Restraint events within five business days of the SAR event to Molina Healthcare Quality Management (Molina QM) at: MCCAZ-QOC@MolinaHealthcare.com. When reporting an SAR event to Molina QM, the following SAR documentation must be included:
- AMPM Policy 962 - 962AttachmentA.docx
- SAR Initiating Orders
- SAR Flowsheets/Monitoring Logs
Please Note: Any SAR event that results in a death, injury and/or complication requiring medical attention must be reported to Molina via the AHCCCS QM Portal (https://qmportal.azahcccs.gov) as an Incident, Accident, and Death (IAD) Report within 24 hours of the incident.
AHCCCS requirements for SAR reporting to Molina QM can be found at AMPM Policy 962