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 safety and the home environment, and care planning and coordination (§ 484.60).
CMS OASIS-E2 Guidance Manual, effective April 1, 2026. Includes fall-risk and safety items used in the comprehensive assessment 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.]
Fall-prevention and medication-safety references. The CDC STEADI (Stopping Elderly Accidents, Deaths & Injuries) fall-prevention framework and the 2023 American Geriatrics Society Beers Criteria for potentially inappropriate medication use in older adults. Mandated reporting of suspected abuse, neglect, or exploitation follows state law and agency policy.
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.
