Conditions of Participation · 42 CFR Part 484
Home Health Conditions of Participation
Every survey tag (227: the G-tags of Appendix B and the E-tags of Appendix Z that apply to home health agencies) with the regulation text it enforces and CMS’s interpretive guidelines, quoted from the State Operations Manual.
SOM Appendix B Rev. 245 · issued 2026-08-05
§484.1
Basis and Scope
1 tag
§484.2
Definitions
Definitions
§484.40 · G0350
Release of patient identifiable OASIS information
1 tag
§484.45 · G0370
Reporting OASIS information
7 tags
§484.50 · G0406
Patient rights
38 tags
§484.55 · G0510
Comprehensive assessment of patients
18 tags
§484.58 · G0560
Discharge planning
4 tags
§484.60 · G0570
Care planning, coordination of services, and quality of care
24 tags
§484.65 · G0640
Quality assessment and performance improvement (QAPI)
8 tags
§484.70 · G0680
Infection prevention and control
4 tags
§484.75 · G0700
Skilled professional services
16 tags
§484.80 · G0750
Home health aide services
29 tags
§484.100 · G0848
Compliance with Federal, State, and local laws and regulations related to the health and safety of patients
5 tags
§484.102 · E0001
Emergency preparedness
21 tags
§484.105 · G0940
Organization and administration of services
25 tags
§484.110 · G1008
Clinical records
11 tags
§484.115 · G1050
Personnel qualifications
15 tags
Every survey tag
Every survey tag, under its section.
§484.1 Basis and Scope
§484.40 Release of patient identifiable OASIS information
§484.45 Reporting OASIS information
- G0370§484.45 Condition of participation: Reporting OASIS information. · Reporting Oasis Information
- G0372§484.45(a) Standard: Encoding and transmitting OASIS data. An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. · Encoding And Transmitting Oasis
- G0374§484.45(b) Standard: Accuracy of encoded OASIS data. The encoded OASIS data must accurately reflect the patient's status at the time of assessment. · Accuracy Of Encoded Oasis Data
- G0378§484.45(c) Standard: Transmittal of OASIS data. An HHA must— · Oasis Data Transmission Format
- G0382§484.45(c) Standard: Transmittal of OASIS data. An HHA must— · Transmit Data Using Compliant Software
- G0384§484.45(c) Standard: Transmittal of OASIS data. An HHA must—
- G0386§484.45(d) Standard: Data Format. · Data Format
§484.50 Patient rights
- G0406§484.50 Condition of participation: Patient rights. · Patient Rights
- G0410§484.50(a) Standard: Notice of rights. The HHA must— · Information To Patient
- G0412[§484.50(a) Standard: Notice of rights. The HHA must—(1) Provide the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to the patient:] · Written Notice Of Patient'S Rights
- G0414§484.50(a) Standard: Notice of rights. The HHA must— · Hha Administrator Contact Information
- G0416§484.50(a) Standard: Notice of rights. The HHA must— · Oasis Privacy Notice
- G0418§484.50(a) Standard: Notice of rights. The HHA must— · Patient'S Or Legal Representative'S Signature
- G0420§484.50(a)(3) · [Removed And Reserved]
- G0422§484.50(a) Standard: Notice of rights. The HHA must— · Written Notice Within 4 Business Days
- G0424§484.50(b) Standard: Exercise of rights. · Exercise Of Rights
- G0428§484.50(c) Standard: Rights of the patient. The patient has the right to— · Property And Person Treated With Respect
- G0430§484.50(c) Standard: Rights of the patient. The patient has the right to— · Be Free From Abuse
- G0432§484.50(c) Standard: Rights of the patient. The patient has the right to— · Make Complaints To The Hha
- G0434§484.50(c) Standard: Rights of the patient. The patient has the right to— · Participate In Care
- G0436§484.50(c) Standard: Rights of the patient. The patient has the right to— · Receive All Services In Plan Of Care
- G0438§484.50(c) Standard: Rights of the patient. The patient has the right to— · Have A Confidential Clinical Record
- G0440§484.50(c) Standard: Rights of the patient. The patient has the right to— · Payment From Federally Funded Programs
- G0442§484.50(c) Standard: Rights of the patient. The patient has the right to— · Written Notice For Non-Covered Care
- G0444§484.50(c) Standard: Rights of the patient. The patient has the right to— · State Toll Free Hh Telephone Hotline
- G0446§484.50(c) Standard: Rights of the patient. The patient has the right to— · Contact Info Federal/State-Funded Entities
- G0448§484.50(c) Standard: Rights of the patient. The patient has the right to— · Freedom From Discrimination Or Reprisal
- G0450§484.50(c) Standard: Rights of the patient. The patient has the right to— · Access To Auxiliary Aids And Language Service
- G0452§484.50(d) Standard: Transfer and discharge. · Transfer And Discharge
- G0454§484.50(d) Standard: Transfer and discharge. · Hha Can No Longer Meet The Patient'S Needs
- G0456§484.50(d) Standard: Transfer and discharge. · Patient/Payer Will No Longer Pay For Services
- G0458§484.50(d) Standard: Transfer and discharge. · Outcomes/Goals Have Been Achieved
- G0460§484.50(d) Standard: Transfer and discharge. · Patient Refuses Services
- G0462§484.50(d) Standard: Transfer and discharge. · Before Discharge For Cause Hha Must:
- G0464§484.50(d) Standard: Transfer and discharge. · Advise The Patient Of Discharge For Cause
- G0466§484.50(d) Standard: Transfer and discharge. · Make Efforts To Resolve The Problem(S)
- G0468§484.50(d) Standard: Transfer and discharge. · Provide Contact Info Other Services
- G0470§484.50(d) Standard: Transfer and discharge. · Document Efforts To Resolve Problems
- G0472§484.50(d) Standard: Transfer and discharge. · Death Of Patient
- G0474§484.50(d) Standard: Transfer and discharge. · Hha Ceases To Operate
- G0478§484.50(e) Standard: Investigation of complaints. · Investigate Complaints Made By Patient
- G0484§484.50(e)(1) · Document Complaint And Resolution
- G0486§484.50(e)(1) · Protect Patient During Investigation
- G0488§484.50(e)(2) · Immediate Reporting Of Abuse By All Staff
- G0490§484.50(f) Standard: Accessibility. Information must be provided to patients in plain language and in a manner that is accessible and timely to— · Accessibility
§484.55 Comprehensive assessment of patients
- G0510§484.55 Condition of participation: Comprehensive assessment of patients. · Comprehensive Assessment Of Patients
- G0514§484.55(a) Standard: Initial assessment visit. · Rn Performs Assessment
- G0516§484.55(a)(2) · Skilled Professional Performs Assessment
- G0520§484.55(b) Standard: Completion of the comprehensive assessment. · 5 Calendar Days After Start Of Care
- G0522§484.55(b)(2) · Eligibility For Medicare Home Health Benefit
- G0524§484.55(b)(3) · Therapy Services Determine Eligibility
- G0528§484.55(c) Standard: Content of the comprehensive assessment. The comprehensive assessment must accurately reflect the patient's status, and must include, at a minimum, the following information: · Health, Psychosocial, Functional, Cognition
- G0530§484.55(c) · Strengths, Goals, And Care Preferences
- G0532§484.55(c) · Continuing Need For Home Care
- G0534§484.55(c) · Patient'S Needs
- G0536§484.55(c) · A Review Of All Current Medications
- G0538§484.55(c) · Primary Caregiver(S), If Any
- G0540§484.55(c) · The Patient'S Representative (If Any);
- G0542§484.55(c) · Incorporate Oasis Items
- G0544§484.55(d) Standard: Update of the comprehensive assessment. · Update Of The Comprehensive Assessment
- G0546[§484.55(d) Standard: Update of the comprehensive assessment…not less frequently than-] · Last 5 Days Of Every 60 Days Unless:
- G0548[§484.55(d) Standard: Update of the comprehensive assessment…not less frequently than-] · Within 48 Hours Of The Patient'S Return
- G0550[§484.55(d) Standard: Update of the comprehensive assessment…not less frequently than-] · At Discharge
§484.58 Discharge planning
- G0560§ 484.58 Condition of participation: Discharge planning. · Discharge Planning
- G0562§484.58(a) Standard: Discharge planning. · Discharge Planning
- G0564§484.58(b) Standard: Discharge or transfer summary content. · Discharge Or Transfer Summary Content
- G0566§484.58(b) Standard: Discharge or transfer summary content.
§484.60 Care planning, coordination of services, and quality of care
- G0570§484.60 Condition of participation: Care planning, coordination of services, and quality of care. · Care Planning, Coordination, Quality Of Care
- G0572§484.60(a) Standard: Plan of care. · Plan Of Care
- G0574§484.60(a)(2) · Plan Of Care Must Include The Following
- G0576§484.60(a)(3) · All Orders Recorded In Plan Of Care
- G0580§484.60(b) Standard: Conformance with the physician or allowed practitioner orders. · Only As Ordered By A Physician
- G0582§484.60(b)(2) · Influenza And Pneumococcal Vaccines
- G0584§484.60(b)(3) · Verbal Orders
- G0588§484.60(c) Standard: Review and revision of the plan of care. · Reviewed, Revised By Physician Every 60 Days
- G0590§484.60(c)(1) · Promptly Alert Relevant Physician Of Changes
- G0592§484.60(c)(2) · Revised Plan Of Care
- G0594§484.60(c)(3) · Plan Of Care Revisions Must Be Communicated
- G0596§484.60(c)(3)(i) · Revisions Communicated To Patient And Mds
- G0598§484.60(c)(3)(ii) · Discharge Plans Communication
- G0602§484.60(d) Standard: Coordination of Care. The HHA must: · Communication With All Physicians
- G0604§484.60(d)(2) · Integrate All Orders
- G0606§484.60(d)(3) · Integrate All Services
- G0608§484.60(d)(4) · Coordinate Care Delivery
- G0610§484.60(d)(5) · Patients Receive Education And Training
- G0612§484.60(e) Standard: Written information to the patient. · Written Instructions To Patient Include:
- G0614G0614 · Visit Schedule
- G0616G0616 · Patient Medication Schedule/Instructions
- G0618G0618 · Treatments And Therapy Services
- G0620G0620 · Other Pertinent Instructions
- G0622G0622 · Name/Contact Information Of Clinical Manager
§484.65 Quality assessment and performance improvement (QAPI)
- G0640§484.65 Condition of participation: Quality assessment and performance improvement (QAPI). · Quality Assessment/Performance Improvement
- G0642§484.65(a) Standard: Program scope. · Program Scope
- G0644§484.65(b) Standard: Program data. · Program Data
- G0646§484.65(c) Standard: Program activities. · Program Activities
- G0654§484.65(c)(2) · Track Adverse Patient Events
- G0656§484.65(c)(3) · Improvements Are Sustained
- G0658§484.65(d) Standard: Performance improvement projects. · Performance Improvement Projects
- G0660§484.65(e) Standard: Executive responsibilities. · Executive Responsibilities For Qapi
§484.70 Infection prevention and control
§484.75 Skilled professional services
- G0700§484.75 Condition of participation: Skilled professional services. · Skilled Professional Services
- G0702§484.75(a) Standard: Provision of services by skilled professionals. · Services By Skilled Professionals
- G0704§484.75(b) Standard: Responsibilities of skilled professionals. · Responsibilities Of Skilled Professionals
- G0706[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Interdisciplinary Assessment Of The Patient
- G0708[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Development And Evaluation Of Plan Of Care
- G0710[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Provide Services In The Plan Of Care
- G0712[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Patient, Caregiver, And Family Counseling
- G0714[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Patient And Caregiver Education
- G0716[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Preparing Clinical Notes
- G0718[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Communication With Physicians
- G0720[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Participate In The Hha'S Qapi Program;
- G0722[§484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following:] · Participate In Hha-Sponsored In-Service
- G0724§484.75(c) Standard: Supervision of skilled professional assistants. · Supervise Skilled Professional Assistants
- G0726§484.75(c)(1) · Nursing Services Supervised By Rn
- G0728§484.75(c)(2) · Rehab Services Supervised By Pt, Ot
- G0730§484.75(c)(3) · Medical Social Services Supervised By Msw
§484.80 Home health aide services
- G0750§484.80 Condition of participation: Home health aide services. · Home Health Aide Services
- G0754§484.80(a) Standard: Home health aide qualifications. · A Qualified Hh Aide Successfully Completed:
- G0756§484.80(a)(2) · 24 Consecutive Months Paid Service
- G0760§484.80(b) Standard: Content and duration of home health aide classroom and supervised practical training. · Classroom And Supervised Practical Training
- G0762[§484.80(b) Standard: Content and duration of home health aide classroom and supervised practical training.] · Minimum Hours Of Training
- G0764[§484.80(b) Standard: Content and duration of home health aide classroom and supervised practical training.] · Hh Aide Training Program Topics
- G0766[§484.80(b) Standard: Content and duration of home health aide classroom and supervised practical training.] · Hha Maintains Documentation Of Training
- G0768§484.80(c) Standard: Competency evaluation. · Competency Evaluation
- G0770§484.80(c)(4) · Unsatisfactory Competency Evaluation
- G0772§484.80(c)(5) · Documentation Of Competency Evaluation
- G0774§484.80(d) Standard: In-service training. · 12 Hours Inservice Every 12 Months
- G0776§484.80(d)(1) · Inservice Training Supervised By Rn
- G0778§484.80(d)(2) · Documentation Of Inservice Training
- G0780§484.80(e) Standard: Qualifications for instructors conducting classroom and supervised practical training. · Instructor Qualifications
- G0782§484.80(f) Standard: Eligible training and competency evaluation organizations. · Eligible Training/Competency Evaluation Orgs.
- G0798§484.80(g) Standard: Home health aide assignments and duties. · Home Health Aide Assignments And Duties
- G0800§484.80(g)(2) · Services Provided By Hh Aide
- G0802§484.80(g)(3) · Duties Of A Hh Aide
- G0804§484.80(g)(4) · Aides Are Members Of Interdisciplinary Team
- G0806§484.80(h) Standard: Supervision of home health aides. §484.80(h)(1) · Supervision Of Home Health Aides
- G0808§484.80(h) Standard: Supervision of home health aides. · Onsite Supervisory Visit Every 14 Days
- G0810§484.80(h)(1)(ii) · If Concern Identified, Direct Observation
- G0812§484.80(h)(1)(iii) · If Area Of Concern Is Noted
- G0813§484.80(h)(1)(iv) · Basis And Scope
- G0814§484.80(h)(2)(i) · Non-Skilled Direct Observation Every 60 Days
- G0816§484.80(h)(3)
- G0818§484.80(h)(4) · Hh Aide Supervision Elements
- G0820§484.80(h)(5) · Hh Aide Services Under Arrangement
- G0828§484.80(i) Standard: Individuals furnishing Medicaid personal care aide-only services under a Medicaid personal care benefit. · Medicaid Personal Care Aide-Only Services
§484.100 Compliance with Federal, State, and local laws and regulations related to the health and safety of patients
- G0848§484.100 Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients. · Compliance With Federal, State, Local Law
- G0850§484.100(a) Standard: Disclosure of ownership and management information. · Disclosure Of Ownership And Management Info.
- G0860§484.100(b) Standard: Licensing. · Licensing
- G0862§484.100(c) Standard: Laboratory services. · Laboratory Services/Clia Waivers
- G0864§484.100(c)(2) · Referral Laboratory Must Be Certified
§484.102 Emergency preparedness
- E0001§484.102 · Establishment Of The Emergency Program (Ep)
- E0004§484.102(a) · Develop Ep Plan, Review And Update Annually
- E0006§484.102(a)(1)-(2) · Plan Based On All Hazards Risk Assessment
- E0007§484.102(a)(3) · Ep Program Patient Population
- E0009§484.102(a)(4) · Local, State, Tribal Collaboration Process
- E0013§484.102(b) · Development Of Ep Policies And Procedures
- E0017§484.102(b)(1) Condition for Participation: · Hha Comprehensive Assessment In Disaster
- E0019§484.102(b)(2) · Homebound Hha/Hospice Inform Ep Officials
- E0021§484.102(b)(3) Condition of Participation: · Hha- Procedures For Follow Up Staff/Pts.
- E0023§484.102(b)(4) · Policies/Procedures For Medical Documentation
- E0024§484.102(b)(5) · Policies/Procedures-Volunteers And Staffing
- E0029§484.102(c) · Development Of Communication Plan
- E0030§484.102(c)(1) · Names And Contact Information
- E0031§484.102(c)(2) · Emergency Officials Contact Information
- E0032§484.102(c)(3) · Primary/Alternate Means For Communication
- E0033§484.102(c)(4)-(5) · Methods For Sharing Information
- E0034§484.102(c)(6) · Information On Occupancy/Needs
- E0036§484.102(d) · Ep Training And Testing
- E0037§484.102(d)(1) · Ep Training Program
- E0039§484.102(d)(2) · Ep Testing Requirements
- E0042§484.102(e) · Integrated Ep Program
§484.105 Organization and administration of services
- G0940§484.105 Condition of participation: Organization and administration of services. · Organization And Administration Of Services
- G0942§484.105(a) Standard: Governing body. · Governing Body
- G0946§484.105(b)(1) Standard: Administrator. The administrator must: · Administrator Appointed By Governing Body
- G0948§484.105(b)(1) · Responsible For All Day-To-Day Operations
- G0950§484.105(b)(1) · Ensure Clinical Manager Is Available
- G0952§484.105(b)(1) · Ensure That Hha Employs Qualified Personnel
- G0954§484.105(b)(2) · Ensures Qualified Pre-Designated Person
- G0956§484.105(b)(3) · Available During All Operating Hours
- G0958§484.105(c) Standard: Clinical manager. · Clinical Manager
- G0960[§484.105(c) Standard: Clinical manager…Oversight must include the following-] · Make Patient And Personnel Assignments,
- G0962[§484.105(c) Standard: Clinical manager…Oversight must include the following-] · Coordinate Patient Care
- G0964[§484.105(c) Standard: Clinical manager…Oversight must include the following-] · Coordinate Referrals;
- G0966[§484.105(c) Standard: Clinical manager…Oversight must include the following-] · Assure Patient Needs Are Continually Assessed
- G0968[§484.105(c) Standard: Clinical manager…Oversight must include the following-] · Assure Implementation Of Plan Of Care
- G0972§484.105(d) Standard: Parent-branch relationship. · Report All Branch Locations To Sa
- G0974G0974 · Direct Support And Administrative Control
- G0976§484.105(e) Standard: Services under arrangement. · Services Under Arrangement
- G0978§484.105(e)(2) · Must Have A Written Agreement
- G0980§484.105(e)(3) · Primary Hha Is Responsible For Patient Care
- G0982§484.105(f) Standard: Services furnished. · Skilled Services Furnished
- G0984§484.105(f)(2) · In Accordance With Current Clinical Practice
- G0986§484.105(g) Standard: Outpatient physical therapy or speech-language pathology services. · Outpatient Therapy Services
- G0988§484.105(h) Standard: Institutional planning. · Institutional Planning
- G0990§484.105(i) Standard: HHA acceptance to service.
- G0992§484.105(i) Standard: HHA acceptance to service.
§484.110 Clinical records
- G1008§484.110 Condition of participation: Clinical records. · Clinical Records
- G1012§484.110(a) Standard: Contents of clinical record. The record must include: · Required Items In Clinical Record
- G1014[§484.110(a) Standard: Contents of clinical record. The record must include:] · Interventions And Patient Response
- G1016[§484.110(a) Standard: Contents of clinical record. The record must include:] · Goals In The Patient'S Plans Of Care
- G1018[§484.110(a) Standard: Contents of clinical record. The record must include:] · Contact Information For The Patient
- G1020[§484.110(a) Standard: Contents of clinical record. The record must include:] · Contact Info For Primary Care Practitioner
- G1022[§484.110(a) Standard: Contents of clinical record. The record must include:] · Discharge And Transfer Summaries
- G1024§484.110(b) Standard: Authentication. · Authentication
- G1026§484.110(c) Standard: Retention of records. · Retention Of Records
- G1028§484.110(d) Standard: Protection of records. · Protection Of Records
- G1030§484.110(e) Standard: Retrieval of clinical records. · Retrieval Of Records
§484.115 Personnel qualifications
- G1050§484.115 Condition of participation: Personnel qualifications. · Personnel Qualifications
- G1052§484.115(a) Standard: Administrator, home health agency. · Administrator
- G1054§484.115(b) Standard: Audiologist. A person who:
- G1056§484.115(c) Standard: Clinical manager. · Clinical Manager
- G1058§484.115(d) Standard: Home health aide. · Home Health Aide
- G1060§484.115(e) Standard: Licensed practical (vocational) nurse. · Licensed Practical (Vocational) Nurse
- G1062§484.115(f) Standard: Occupational therapist. A person who— · Occupational Therapist
- G1064§484.115(g) Standard: Occupational therapy assistant. A person who— · Occupational Therapy Assistant
- G1066§484.115(h) Standard: Physical therapist. · Physical Therapist
- G1068§484.115(i) Standard: Physical therapist assistant. · Physical Therapist Assistant
- G1070§484.115(j) Standard: Physician. · Physician
- G1072§484.115(k) Standard: Registered nurse. · Registered Nurse
- G1074§484.115(l) Standard: Social Work Assistant.
- G1076§484.115(m) Standard: Social worker. · Social Worker
- G1078§484.115(n) Standard: Speech-language pathologist. · Speech-Language Pathologist
Source: State Operations Manual, Appendix B - Guidance to Surveyors: Home Health Agencies (Rev. 245, issued 08-05-26) and State Operations Manual, Appendix Z - Emergency Preparedness for All Provider and Certified Supplier Types (Rev. 204, issued 04-16-21), text extracted from the PDF with pdftotext, retrieved 2026-10-09. Works of the US Government are in the public domain.
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