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 cognitive status, and care planning and coordination (§ 484.60).
CMS OASIS-E2 Guidance Manual, effective April 1, 2026. The cognitive-status items (for example the Brief Interview for Mental Status, BIMS) 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.]
Validated cognitive and delirium instruments. The Mini-Cog and the Montreal Cognitive Assessment (MoCA) for cognitive screening, and the Confusion Assessment Method (CAM) for delirium. Delirium is recognized as an acute, often medically driven change requiring urgent evaluation.
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.
