Report It Now for ECF CHOICES Tier 1 Reportable Events

Tier 1 Reportable Events should be reported immediately after discovery.

ECF CHOICES Reportable Event Tier 1 Reporting Requirements

The following timelines are based on the date and time of who first discovers the incident, which could be BlueCare Tennessee or a provider.

  1. If you discover or witness a Tier 1 Reportable Event, you must report it within four hours by calling the Department of Intellectual and Developmental Disabilities (DIDD) hotline in your region:
    • East Tennessee: 1-800-579-0023
    • Middle Tennessee: 1-888-633-1313
    • West Tennessee: 1-888-632-4490
  1. The provider Incident Management Coordinator (IMC) or designee must then submit a written ECF Reportable Event Form via data exchange to both DIDD and BlueCare Tennessee by close of the next business day after the telephone report to DIDD is made.

ECF CHOICES Reportable Event Contact Information

  • BlueCare Tennessee Email:
  • BlueCare Tennessee Fax: 1-855-472-0156 (only use if email isn’t available)
  • Adult Protective Services
    • Phone: 1-888-277-8366
    • Fax: 1-866-294-3961
  • Child Protective Services
    • Phone: 1-877-237-0004
  • DIDD Email:
  • DIDD Fax Number: 1-877-551-5591
  • DIDD Regional Phone Numbers for reporting Tier 1 Reportable Events and requesting exceptions to administrative leave:
    • East Tennessee: 1-800-579-0023
    • Middle Tennessee: 1-888-633-1313
    • West Tennessee: 1-888-632-4490

What Defines an ECF CHOICES Tier 1 Reportable Event?

  • All unexpected or unexplained deaths, including suicide
  • Serious injury – even if cause is unknown – defined as any injury that requires a medical professional or treatment beyond first aid, and includes:
    • Fractures
    • Dislocations
    • Concussions
    • Cuts or lacerations requiring sutures, staples or Dermabond
    • Torn ligaments (i.e., a severe sprain) or torn muscles or tendons (i.e., a severe strain) requiring surgical repair
    • Second and third degree burns
    • Loss of consciousness
  • Suspicious injury (any injury in which abuse or neglect is suspected or doesn’t coincide with explanation of how injury was sustained)
  • Allegations or suspicion of physical, sexual or emotional/psychological abuse, neglect or exploitation resulting in physical harm, pain or mental anguish.
    • Abuse, neglect and exploitation are defined as in TCA 33-2-402 and implemented as specified in Division of TennCareSM
    • Sexual abuse includes sexual battery by an authority figure as defined in TCA 39-13-527
  • Vehicle accident while transporting person resulting in injury or a moving violation with significant risk of harm (e.g., reckless driving or driving under the influence)
  • Theft of more than $1,000 (Class E felony)
  • Medicine error that requires face-to-face medical treatment, including physician services, emergency assistance or transfer to an acute care facility for stabilization, because of injury or probable risk of serious harm – which include:
    • Wrong person receives drug
    • Member receives wrong drug
    • Medication omission
    • Inaccurate dosage
    • Given at wrong time
    • Incorrect rate of delivery
    • Error in drug preparation
    • Mistaken route of administration

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