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Medina County Board of Developmental Disabilities




Major Unusual Incidents (MUIs)

We are here to help families in understanding Major Unusual Incidents (MUIs) and the activities and responsiblities of those involved. We understand the important role family plays in the health and safety of individuals with disabilities which is why we believe it is important for everyone to understand the MUI system and its purpose.

An MUI is an alleged, suspected or actual incident where there is reason to believe the health and safety of an individual will be adversely affected. Examples may include, but are not limited to: physical abuse, sexual abuse, verbal abuse, attempted suicide, death, exploitation, misappropriation, medical emergency, missing individual, neglect, unapproved behavior support, unscheduled hospital admission, and/or significant injury.


  • MUI reporting and investigations help everyone to identify why an incident occurs and to how to prevent it from happening again. To learn more about the MUI process, including reporting and investigation timeframes, click here for our MUI brochure.
  • If you have questions about the MUI process please call our SSA Office at 330-764-8988.


Who Must Report An MUI and How?

All providers who are contracted, certified or licensed to serve persons with DD, all Medina County Board of DD staff and anyone paid to provide Medicaid waiver services are required, by law, to report MUIs. For a detailed description of the MUI rule, click here.


  • MUIs may be reported during working hours (Monday-Friday, from 8:00 am - 4:00 pm) through an email to  During all other times (Monday-Friday from 4:00 pm - 8:00 am and weekends), reports are handled through an emergency cell phone at 330-416-0840.
  • The Medina County Board of Developmental Disabilities reports all MUIs electronically to the Ohio Department of DD.

Need More Help?

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

If you need more help or have other questions, contact the Ohio Department of Developmental Disabilities (DODD) hotline: 1-800-231-5872 or TDD number: 1-800-228-5404

DODD Annual MUI Report

The Ohio Department of Developmental Disabilities Annual MUI Report is now available on its websiteClick here to see the DODD Annual MUI report. The report highlights some of the challenges that individuals with disabilities face regarding health and safety concerns. The report also highlights the hard work of providers, county board and department staff provding ongoing supports to actively address these health and safety concerns.


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