Conditions of Participation · 42 CFR Part 484
§ 484.58 Condition of participation: Discharge planning.
The regulation text and CMS’s interpretive guidelines for every survey tag under this condition, quoted from the State Operations Manual, Appendix B (Rev. 245).
§ 484.58 Condition of participation: Discharge planning.
On the 2567: Discharge Planning
CMS’s guidance for this tag
Interpretive Guidelines § 484.58
The manner and degree of noncompliance identified in relation to the standard level tags for §484.58 may result in substantial noncompliance with this CoP, requiring citation at the condition level.
(Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24)
§484.58(a) Standard: Discharge planning.
On the 2567: Discharge Planning
A home health agency must develop and implement an effective discharge planning process. For patients who are transferred to another HHA or who are discharged to a SNF, IRF or LTCH, the HHA must assist patients and their caregivers in selecting a post-acute care provider by using and sharing data that includes, but is not limited to HHA, SNF, IRF, or LTCH data on quality measures and data on resource use measures. The HHA must ensure that the post-acute care data on quality measures and data on resource use measures is relevant and applicable to the patient’s goals of care and treatment preferences.
- The CFR reads: “An HHA must develop and implement an effective discharge planning process”
Logicly’s note, not CMS text
the manual spells out "A home health agency" where the CFR says "An HHA"
CMS’s guidance for this tag
Interpretive Guidelines §484.58(a)
The goal of discharge planning is to prepare patients and caregivers to be active partners in post-discharge care, to effectively transition the patient from HHA to post-HHA care, and to reduce the factors that often lead to preventable readmissions. Data on quality and resource use measures are available on the CMS.gov web site to assist consumers in making informed decisions about the performance of HHA and other providers including skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), long term care hospitals (LTCHs) and hospices.
(Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24)
§484.58(b) Standard: Discharge or transfer summary content.
On the 2567: Discharge Or Transfer Summary Content
(1) The HHA must send all necessary medical information pertaining to the patient’s current course of illness and treatment, post-discharge goals of care, and treatment preferences, to the receiving facility or health care practitioner to ensure the safe and effective transition of care.
CMS’s guidance for this tag
Interpretive Guidelines §484.58(b)(1)
See also §484.110(a)(6) for discharge and transfer summary requirements.
(Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24)
§484.58(b) Standard: Discharge or transfer summary content.
(2) The HHA must comply with requests for additional clinical information as may be necessary for treatment of the patient made by the receiving facility or health care practitioner.
(Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24)
Current CFR text, 42 CFR 484.58 as revised 2025-10-01 (govinfo)
§ 484.58 Condition of participation: Discharge planning.
(a) Standard: Discharge planning. An HHA must develop and implement an effective discharge planning process. For patients who are transferred to another HHA or who are discharged to a SNF, IRF or LTCH, the HHA must assist patients and their caregivers in selecting a post-acute care provider by using and sharing data that includes, but is not limited to HHA, SNF, IRF, or LTCH data on quality measures and data on resource use measures. The HHA must ensure that the post-acute care data on quality measures and data on resource use measures is relevant and applicable to the patient's goals of care and treatment preferences.
(b) Standard: Discharge or transfer summary content. (1) The HHA must send all necessary medical information pertaining to the patient's current course of illness and treatment, post-discharge goals of care, and treatment preferences, to the receiving facility or health care practitioner to ensure the safe and effective transition of care.
(2) The HHA must comply with requests for additional clinical information as may be necessary for treatment of the patient made by the receiving facility or health care practitioner.
Read with this
Source: State Operations Manual, Appendix B - Guidance to Surveyors: Home Health Agencies (Rev. 245, issued 08-05-26), text extracted from the PDF with pdftotext, retrieved 2026-10-09, and 42 CFR Part 484, annual edition revised as of October 1, 2025 (govinfo XML granules). Works of the US Government are in the public domain.
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