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 (§ 484.60).
CMS OASIS-E2 Guidance Manual, effective April 1, 2026. Outcome and Assessment Information Set used for 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.]
Sleep-assessment references. American Academy of Sleep Medicine guidance on insomnia and obstructive sleep apnea; the STOP-Bang questionnaire for obstructive-sleep-apnea screening; and the 2023 AGS Beers Criteria regarding sedative-hypnotic use and fall risk in older adults. Disease-specific contributors are addressed in the corresponding modules.
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.
