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) and care planning and coordination of services (§ 484.60).
CMS OASIS-E2 Guidance Manual, effective April 1, 2026. The self-care and mobility (GG) items and related functional items used in the comprehensive assessment, case-mix grouping under PDGM, 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.]
Functional-assessment alignment. Functional findings are documented to align with the OASIS-E2 self-care and mobility (GG) items; fall-risk screening and home-safety evaluation are applied with the Safety reference, and therapy coordination follows the plan of care.
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.
