MASTER-level citations, current as of the version date. Companies and agencies may append payer-specific requirements (MAC LCDs, ADR criteria, local notification parameters) as overlays without altering the MASTER version.
CMS Medicare Benefit Policy Manual (Pub. 100-02), Chapter 7 — Home Health Services. Skilled nursing care (§ 40.1), observation and assessment (§ 40.1.2.1), teaching and training (§ 40.1.2.3), management and evaluation of the plan of care (§ 40.1.2.2), homebound (§ 30.1), and reasonable and necessary services (§ 20.1.2).
42 CFR Part 484 — Conditions of Participation for Home Health Agencies. Comprehensive assessment (§ 484.55), including the assessment of skin condition, and care planning and coordination (§ 484.60).
CMS OASIS-E2 Guidance Manual, effective April 1, 2026. The skin-integrity and pressure-ulcer/injury items used in the comprehensive assessment, case-mix grouping, and quality reporting.
Community Health Accreditation Partner (CHAP) Standards of Excellence for Home Health. [Insert the exact standard title, version, section, and effective date per the edition held by the agency.]
Skin and pressure-injury references. The Braden Scale for predicting pressure-injury risk and the EPUAP / NPIAP / PPPIA Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline (2019) for prevention. The staging and treatment of existing pressure injuries and wounds are addressed in the Wounds / Pressure Injury reference.
Usage note: Every narrative and smart phrase in this module is a structured example to be edited to reflect what was actually assessed and the patient's specific orders. Documentation must reflect the real visit; do not copy unchanged.
