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MUI reporting and investigations help everyone to identify why an incident occurs and to prevent it from happening again. All MUIs reported to the Medina County Board of Developmental Disabilities are sent to the Ohio Department of Developmental Disabilities.

MUI General Information Brochure

Who Must Report an MUI

By law in Ohio, all contracted, certified, or licensed developmental disabilities service providers, county board of developmental disabilities staff, and anyone paid to provide Medicaid waiver services are required to report a Major Unusual Incident (MUI).

  • Certified/Licensed Providers: Any agency or independent provider approved to serve individuals with developmental disabilities.
  • County Board Employees: All staff members working for a local county board of developmental disabilities
  • Medicaid Waiver Staff: Any paid caregiver or staff rendering waiver-funded services.

 

MUI Rule

How to Report an MUI

Incidents involving abuse, neglect, death, exploitation, misappropriation, failure to report, and peer-to-peer acts must always be reported within four hours of occurring. All other incidents must be reported by 3:00 pm the next working day.

  • MUIs reported during working hours Monday thru Friday from 8:00 am until 4:00 pm – through an email to muireport@mcbdd.org.
  • MUIs reported before or after working hours, weekends and holidays  – through the emergency phone at 330-725-7751 option 4.
  • All providers of service are required to report an MUI by using the Provider Initial MUI Report Form.

Initial MUI Report Form

MUI Category C Forms

Major Unusual Incident (MUI) Category C incidents require administrative review in Ohio’s DD system and reporters are require to use these specific forms.

Form for Law Enforcement Report

Form for Unapproved Behavior Support Report

Form for Unanticipated Hospitalization Report

MUI Training

The Medina County Board of DD provides an annual review and discussion of MUIs in Medina County which includes training on types of MUIs, as well as MUI reporting and documentation requirements.

2026 MUI Training

DODD Hotlines

If you have any concerns or difficulties in reporting MUIs, you may contact the Ohio Department of Developmental Disabilities MUI Hotline: 1-866-313-6733.

If you need more help or have questions, contact the Ohio Department of Developmental Disabilities Hotline: 1-800-231-5872 or TDD number: 1-800-228-5404.

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