19. Sources and clinical references
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. Patient rights, including the right to receive information in a language and manner the patient understands (§ 484.50), the comprehensive assessment (§ 484.55), and care planning and coordination (§ 484.60).
- CMS OASIS-E2 Guidance Manual, effective April 1, 2026. Includes a health-literacy item and other items relevant to communication 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.]
- Health-literacy and language-access references. The teach-back method for verifying comprehension (consistent with AHRQ health-literacy guidance) and the use of qualified medical interpreters rather than family members for clinical information and consent. The neurologic basis of aphasia and dysarthria is addressed in the Neurological reference, and the hearing and vision examinations in their respective references.
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.